Organization Active NPI

Tasker Hatch Rowan LLC

  • Dentist
  • Los Alamos, NM
National Provider Identifier
1215770532
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TASKER HATCH ROWAN LLC
Practice address
2101 Trinity Drive Ste P
Los Alamos, NM 87544-4103
Phone
(505) 428-7878
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Kushboo Kumar
Title
Credentialing Specialist
Phone
(916) 877-7450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

2101 Trinity Drive Ste P
Los Alamos, NM 87544-4103

Mailing address

325 S Higley Rd #130
Gilbert, AZ 85296-4703
Phone (916) 877-7450

Other names 1

  • Just for Grins Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tasker Hatch Rowan LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

325 S Higley Rd
Ste 130
Gilbert, AZ 85296

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1215770532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S HIGLEY RD #130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964703",
            "telephone_number": "916-877-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TRINITY DRIVE STE P",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444103",
            "telephone_number": "505-428-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASKER HATCH ROWAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KUSHBOO",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "916-877-7450"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just for Grins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.