NPIMap

Organization Active NPI

Encino Dental Care, Inc.

  • Dental Hygienist
  • Albuquerque, NM
National Provider Identifier
1184082125
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH 812 Issued in NM
Legal business name
ENCINO DENTAL CARE, INC.
Practice address
717 Encino PL NE
Suite 7
Albuquerque, NM 87102-2611
Phone
(505) 843-9636
Fax
(505) 843-6277
NPI assigned
Feb 5, 2016
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Dr. Phillip Richardson, CPDH, DOM
Title
Owner
Phone
(505) 843-9636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X DH 812 NM Primary

Addresses

Primary practice location

717 Encino PL NE
Suite 7
Albuquerque, NM 87102-2611

Mailing address

717 Encino PL NE
Suite 7
Albuquerque, NM 87102-2611
Phone (505) 843-9636

National Provider Directory

National Provider Directory
Tax ID family
Encino Dental Care Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1184082125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-843-9636",
            "fax_number": "505-843-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-843-9636",
            "fax_number": "505-843-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-843-9636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CPDH, DOM"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH 812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2016; 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.