Deming Dental Services, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1072 Issued in NM

Legal business name

DEMING DENTAL SERVICES, P.A.

Practice address

400 S Gold Ave
Deming, NM 88030-4159

Phone

(505) 546-2684

Fax

(505) 546-1106

NPI assigned

Oct 27, 2005

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

James J. O'Connell, D.D.S.

Title

Pres. Corp.

Phone

(505) 546-2684

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Trevor A Williams, DMD

  • General Practice Dentistry
  • Deming, NM
  • NPI 1568451011
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326038563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304159",
            "telephone_number": "505-546-2684",
            "fax_number": "505-546-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304159",
            "telephone_number": "505-546-2684",
            "fax_number": "505-546-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMING DENTAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRES. CORP.",
        "authorized_official_telephone_number": "505-546-2684",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Cruz, M.D.
• Sara Davalos
• Patricia Ann Delao, LBSW
• Deming Clinic Corporation
• Deming Dental and Oral Surgery Center (Rio Mimbres Family Dental and Oral Surgery)
• Deming Emergency Physicians
• Deming Home Care Services LLC (Mimbres Valley Hospice)
• Deming Hospital Corporation (Mimbres Memorial Nursing Home)
• Deming Hospital Corporation (Mimbres Valley Medical Group)
• Deming Hospital Corporation (Deming Pediatrics)

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