Michael Stephen Dondelinger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1231 Issued in NM

Practice address

608 Lajoya St.
Suite B
Espanola, NM 87532

Phone

(505) 753-9454

Fax

(505) 753-1212

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104845486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 BROADVIEW DR",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442800",
            "telephone_number": "505-662-7405",
            "fax_number": "505-753-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LAJOYA ST.",
            "address_2": "SUITE B",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "505-753-9454",
            "fax_number": "505-753-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDELINGER",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nenad Dobra, LPN
• David Dominguez-Maez, LSAA
• Nancy Viola Dominguez
• Valerie Dominguez
• Elizabeth Anne Donaldson, NP-C
• DRS McCloskey and Meneakis
• Emily Drummond, DO
• Rita Maria Duran
• Robert James Duran, R.PH.
• James Harold Dyer Jr., LMT

• All providers in Espanola, NM
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.