NPIMap

Organization Active NPI

Tasker Hatch Rowan LLC

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1134425895
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TASKER HATCH ROWAN LLC
Practice address
9201 Eagle Ranch Rd NW FL 3
Albuquerque, NM 87114-6440
Phone
(505) 892-9010
Fax
(505) 899-4804
NPI assigned
Jan 28, 2011
Organization subpart
Yes
Parent organization
SMILES FOR NM KIDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Ebonie Gonzales, CREDS MGR
Title
Credentialing Manager
Phone
(505) 850-3769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NM Primary

Addresses

Primary practice location

9201 Eagle Ranch Rd NW FL 3
Albuquerque, NM 87114-6440

Mailing address

325 S Higley #130
Gilbert, AZ 85296
Phone (505) 850-3769

Other names 1

  • smiles for nm kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Dental Associates of NM PC3 organizations share this tax ID, including this one
Part of
Tasker Hatch Rowan LLC

Other organizations with this tax ID 2

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

Locations

9201 Eagle Ranch Rd NW
Fl 3
Albuquerque, NM 87114
Phone (505) 892-9010

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1134425895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S HIGLEY #130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "505-850-3769",
            "fax_number": "505-890-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW FL 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146440",
            "telephone_number": "505-892-9010",
            "fax_number": "505-899-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASKER HATCH ROWAN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILES FOR NM KIDS",
        "enumeration_date": "2011-01-28",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "505-850-3769",
        "authorized_official_credential": "CREDS MGR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smiles for nm kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "smiles for nm kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.