NPIMap

Organization Active NPI

Taos Family Dentistry, Inc

  • General Practice Dentistry
  • Taos, NM
National Provider Identifier
1235359738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD2176 Issued in NM
Legal business name
TAOS FAMILY DENTISTRY, INC
Practice address
1335 Gusdorf Rd Ste a
Taos, NM 87571-5206
Phone
(505) 751-9333
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lani Leigh Hoshaw, DDSNPI 1043281892
Title
Chairman of the Board
Phone
(505) 751-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DD2176 NM Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DD1823 NM

Addresses

Primary practice location

1335 Gusdorf Rd Ste a
Taos, NM 87571-5206

Mailing address

1335 Gusdorf Rd Ste a
Taos, NM 87571-5206
Phone (505) 751-9333

Other identifiers 3

IdentifierTypeStateIssuer
013118MedicaidNM
13118MedicaidNM
0015467MedicaidNM

National Provider Directory

National Provider Directory

Locations

1335 Gusdorf Rd
Ste A
Taos, NM 87571
Phone (505) 751-9333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235359738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 GUSDORF RD STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715206",
            "telephone_number": "505-751-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 GUSDORF RD STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715206",
            "telephone_number": "505-751-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSHAW",
        "authorized_official_first_name": "LANI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "505-751-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2176",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013118",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13118",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015467",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.