Santa Teresa Cosmetic and Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANTA TERESA COSMETIC AND FAMILY DENTISTRY LLC

Practice address

103 Livingston Loop Unit B
Santa Teresa, NM 88008-9762

Phone

(575) 332-4047

Fax

(575) 332-4201

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Noha Oushy Eissa, DDS

Title

Dentist

Phone

(575) 332-4047

Specialties & licenses 1

Addresses

Other names 1

• Santa Teresa Smiles Doing business as

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1295215713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LIVINGSTON LOOP UNIT B",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089762",
            "telephone_number": "575-332-4047",
            "fax_number": "575-332-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LIVINGSTON LOOP UNIT B",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089762",
            "telephone_number": "575-332-4047",
            "fax_number": "575-332-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA TERESA COSMETIC AND FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "OUSHY EISSA",
        "authorized_official_first_name": "NOHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "575-332-4047",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Teresa Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rocio Sanchez, OFFICE MANAGER
• Samantha Sanchez
• Sandra L Shuya PC
• Peter K. Sangra, MD
• Santa Teresa Chiropractic Center
• Santa Teresa Family Medical Center
• Santa Teresa Medical Care Center PC
• Santa Teresa Occmed Center, PC
• Joaquin F Santillan, MPT
• Sandra Michelle Santos Rodriguez, LPCC

• General Practice Dentistry in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.