Family Dental Health Care

Primary specialty

DentistTaxonomy code 122300000X

License

DD1870 Issued in NM

Legal business name

FAMILY DENTAL HEALTH CARE

Practice address

4550 Eubank Blvd
Suite 203
Albuquerque, NM 87111

Phone

(505) 881-8979

Fax

(505) 881-8979

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Jenny Xayavong

Title

Office Manager

Phone

(505) 881-8979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1285179549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD",
            "address_2": "SUITE 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-881-8979",
            "fax_number": "505-881-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD",
            "address_2": "SUITE 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-881-8979",
            "fax_number": "505-881-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "XAYAVONG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-881-8979"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families Plus, Inc
• Families Together/Self Realization Therapy
• Family Choice 98TH LLC
• Family Clinic of New Mexico
• Family Dental Centers PA
• Family Dental Health Care LLC
• Family Dimensions Inc.
• Family Eye Care/Children'S Eye Center of New Mexico, P.C.
• Family Foot Health Specialists, P.C.
• Family Harmony

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.