Atenas De Taboada Da Silva, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD5295. Issued in NM

Practice address

506 Airport Dr
Farmington, NM 87401-2602

Phone

(505) 325-7700

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidskare P.C.

  • General Practice Dentistry
  • Las Cruces, NM
  • NPI 1316937964
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1104435130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 AIRPORT DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012602",
            "telephone_number": "954-225-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 AIRPORT DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012602",
            "telephone_number": "505-325-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE TABOADA DA SILVA",
        "first_name": "ATENAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5295.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice A Davis
• Jo Davis, LISW
• Paul Francis Davis, M.D.
• DDS Catalyst Country Club LLC
• DDS Catalyst Farmington, LLC
• Michele Katherine De' Medici, RN;BSN;M,AC.;LIC.AC.
• Carlene R. Deal-Smith
• Regina Deale
• Victoria Dearly
• Spencer Terence Debauche

• General Practice Dentistry in Farmington, NM
• Providers in Farmington, 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 Aug 28, 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.