NPIMap

Organization Active NPI

SW Myofunctional Therapy LLC

  • Dental Hygienist
  • Albuquerque, NM
National Provider Identifier
1255778874
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH12281 Issued in NM
Legal business name
SW MYOFUNCTIONAL THERAPY LLC
Practice address
5317 Don Miguel PL SW
Albuquerque, NM 87105-5410
Phone
(505) 550-6042
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Sandraluz Gonzalez, RDHNPI 1992142517
Title
Myofunctional Therapist
Phone
(505) 550-6042

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X DH12281 NM Primary

Addresses

Primary practice location

5317 Don Miguel PL SW
Albuquerque, NM 87105-5410

Mailing address

5317 Don Miguel PL SW
Albuquerque, NM 87105-5410
Phone (505) 550-6042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1255778874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 DON MIGUEL PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055410",
            "telephone_number": "505-550-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 DON MIGUEL PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055410",
            "telephone_number": "505-550-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW MYOFUNCTIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SANDRALUZ",
        "authorized_official_title_or_position": "MYOFUNCTIONAL THERAPIST",
        "authorized_official_telephone_number": "505-550-6042",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH12281",
            "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 Jun 14, 2013; 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.