Nizhoni Smiles, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NIZHONI SMILES, INC.

Practice address

N Hwy 491
Shiprock, NM 87420-3449

Phone

(505) 368-5626

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia Freeland

Title

Chief Operating Officer

Phone

(505) 368-5626

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295890416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3449",
            "address_2": "NORTH HWY 491",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874203449",
            "telephone_number": "505-368-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N HWY 491",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874203449",
            "telephone_number": "505-368-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZHONI SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "505-368-5626"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H8402",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812033",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin D. Neztsosie, RN
• Bich Hong Nguyen, RPH
• Nguyet T Nguyen, PHARMACIST
• Richard D. Nichols, LPN
• Cameron Raymond Niswander, MD
• Joseph Ijeomah Nnani, PHARMD
• Marcella R. Nordhus, ED.S CCC-SLP
• Norman Novelly, DO
• Cheryl Lea Oelze
• Julia Ann Olson, PHARMD

• General Practice Dentistry in Shiprock, NM
• Providers in Shiprock, 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 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.