Kid'S Choice Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2523 Issued in NM

Legal business name

KID'S CHOICE DENTAL, INC

Practice address

120 98TH St NW Ste C3
Albuquerque, NM 87121-9021

Phone

(505) 352-5439

Fax

(505) 836-7533

NPI assigned

Mar 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John David Noyes Jr., DDSNPI 1528086188

Title

Owner

Phone

(505) 352-5439

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Choice Dental Doing business as

Tax ID family

Family Choice Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kid'S Choice Dental, Inc

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1023396058
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Noyes Jr., DDS

  • Dentist
  • Albuquerque, NM
  • NPI 1528086188
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1083748016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 98TH ST NW STE C3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871219021",
            "telephone_number": "505-352-5439",
            "fax_number": "505-836-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 98TH ST NW STE C3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871219021",
            "telephone_number": "505-352-5439",
            "fax_number": "505-836-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S CHOICE DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-352-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57459568",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GROUP #",
            "identifier": "1768244",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Choice Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yegennalyn Kiamco, BCBA, LBA
• Keivon Kianfar, PA-C
• Arnold John Kiburz, MD
• Shawna Avila Kibuta, MS, LMHC
• Kid'S Choice Dental, Inc
• Dawit Kidane, PHARMD
• Darcie Kidder
• Kiddos ABA NM LLC
• Kidney Specialists of New Mexico, P.C.
• Kidpower Therapy Associates

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.