Organization Active NPI

Smile Doctors of New Mexico PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hobbs, NM
National Provider Identifier
1114692209
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE DOCTORS OF NEW MEXICO PC
Practice address
1215 W Joe Harvey Blvd
Hobbs, NM 88240-0907
Phone
(806) 794-8124
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Gregory Goggans, DMD
Title
President
Phone
(806) 794-8124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1215 W Joe Harvey Blvd
Hobbs, NM 88240-0907

Mailing address

PO Box 674456
Dallas, TX 75267-4456
Phone (806) 794-8124

National Provider Directory

National Provider Directory

Locations

1215 W Joe Harvey Blvd
Hobbs, NM 88240
Phone (575) 393-6047

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1114692209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674456",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674456",
            "telephone_number": "806-794-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W JOE HARVEY BLVD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882400907",
            "telephone_number": "806-794-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DOCTORS OF NEW MEXICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "GOGGANS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-794-8124",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.