NPIMap

Organization Active NPI

Children'S Dental Clinic of Las Cruces

  • Dentist
  • Las Cruces, NM
National Provider Identifier
1184766552
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD2445 Issued in NM
Legal business name
CHILDREN'S DENTAL CLINIC OF LAS CRUCES
Practice address
1901 Calle de Ninos
Las Cruces, NM 88005-3293
Phone
(719) 671-5617
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Todd M Parco, DDS
Title
Owner
Phone
(505) 526-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DD2445 NM Primary

Addresses

Primary practice location

1901 Calle de Ninos
Las Cruces, NM 88005-3293

Mailing address

1901 Calle de Ninos
Las Cruces, NM 88005-3293
Phone (719) 671-5617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1184766552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CALLE DE NINOS",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053293",
            "telephone_number": "719-671-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CALLE DE NINOS",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053293",
            "telephone_number": "719-671-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CLINIC OF LAS CRUCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "PARCO",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-526-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.