Juanita E. Lintecum, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH2333 Issued in NM

Practice address

111 N Railroad Ave
Espanola, NM 87532-2627

Phone

(505) 753-7218

Fax

(505) 753-5815

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1326222142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE ROAD 75 #15136",
            "address_2": "P.O. BX 516",
            "city": "PENASCO",
            "state": "NM",
            "postal_code": "875530516",
            "telephone_number": "575-587-2809",
            "fax_number": "575-587-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N RAILROAD AVE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322627",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTECUM",
        "first_name": "JUANITA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH2333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENASCO DENTAL",
            "identifier": "321831",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Leichtle, LMSW LADAC
• Lern Health Incorporated
• Enid D Lewis, RD
• Lori Leyba Martinez, RDH
• Marie M Leyba, LMSW
• Ana Hope Logghe, IBCLC, LMT
• Lyle Lomayma
• Kalu B Long, MD
• Stephanie J Long, RN
• Alejandro Lopez

• Dental Hygienist in Espanola, NM
• Providers in Espanola, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.