Kidskare P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIDSKARE P.C.

Practice address

1405 S Valley Dr Ste 200
Las Cruces, NM 88005-3132

Phone

(575) 532-5437

Fax

(575) 532-1005

NPI assigned

Oct 25, 2005

Last updated

Mar 17, 2018By 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

Mr. William Curtis Woolf

Title

Chief Administrative Officer

Phone

(719) 242-7210

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Kyungho Baek

  • General Practice Dentistry
  • Alamogordo, NM
  • NPI 1285473983
  NPD (past)
• Garron Keith Belnap, DDS

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1780996306
  NPD (past)
• Candice Ella Clark, DDS

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1124018379
  NPD (past)
• Atenas De Taboada Da Silva, DMD

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1104435130
  NPD (past)
• Triet DO, DDS

  • General Practice Dentistry
  • Roswell, NM
  • NPI 1740833276
  NPD (past)
• Alexander W Han, DMD

  • General Practice Dentistry
  • Alamogordo, NM
  • NPI 1013438381
  NPD (past)
• Shenye He, D.M.D.

  • General Practice Dentistry
  • Clovis, NM
  • NPI 1194107565
  NPD (past)
• Aleksey Kozlov, DMD

  • General Practice Dentistry
  • Cedar Crest, NM
  • NPI 1124513288
  NPD (past)
• Michael Shawn McCormack, DDS

  • General Practice Dentistry
  • Questa, NM
  • NPI 1891007225
  NPD (past)
• Jessica Ann Mellin, DMD

  • General Practice Dentistry
  • Clovis, NM
  • NPI 1366328619
  NPD (past)
• Edward E Neubauer, DDS

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1497745749
  NPD (past)
• Ashok Neupane, DMD

  • General Practice Dentistry
  • Roswell, NM
  • NPI 1972232767
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1316937964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S VALLEY DR STE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053132",
            "telephone_number": "575-532-5437",
            "fax_number": "575-532-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S VALLEY DR STE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053132",
            "telephone_number": "575-532-5437",
            "fax_number": "575-532-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 N Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882010300",
            "country_code": "US",
            "telephone_number": "575-622-5835",
            "fax_number": "575-622-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Airport Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874012602",
            "country_code": "US",
            "telephone_number": "505-325-7700",
            "fax_number": "505-327-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1713 10th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105027",
            "country_code": "US",
            "telephone_number": "575-439-5439",
            "fax_number": "575-439-0162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 4590",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "NM",
            "postal_code": "880214590",
            "country_code": "US",
            "telephone_number": "575-882-7800",
            "fax_number": "575-882-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Texas St Ste C",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881019410",
            "country_code": "US",
            "telephone_number": "575-762-1900",
            "fax_number": "575-762-9199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W Mermod St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882204493",
            "country_code": "US",
            "telephone_number": "575-887-5111",
            "fax_number": "575-234-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 N Lovington Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882401177",
            "country_code": "US",
            "telephone_number": "575-392-5437",
            "fax_number": "575-392-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDSKARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "719-242-7210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J1471",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907446",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talha Khan, MD
• Terri Lynn Kidd, LCSW
• Kidney Consultants of New Mexico PC
• Kidney Disease and Hypertension Center of New Mexico LLC
• Kidney Wellness Center LC
• Carol Ann Kiesling, M.D.
• Robin M Kiker
• Mary Kilby
• Kim Diaz, LLC
• Jiwon Kim

• General Practice Dentistry in Las Cruces, NM
• Providers in Las Cruces, 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 Mar 17, 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.