Active NPI
Making Life Smile Organization, Corporation
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1336489772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAKING LIFE SMILE ORGANIZATION, CORPORATION
- Practice address
- 3301 Wellesley CT NE Apt 1
Albuquerque, NM 87107-4455 - Phone
- (505) 312-8815
- Fax
- (505) 212-0991
- NPI assigned
- Feb 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheila Annette Parker, CPA
- Title
- President/Owner
- Phone
- (505) 312-8815
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3301 Wellesley CT NE Apt 1
Albuquerque, NM 87107-4455
Mailing address
3301 Wellesley CT NE Apt 1
Albuquerque, NM 87107-4455
Phone (505) 312-8815
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96645 | Other | NM | MEDICARE AUDITOR |
| NPN738876 | Other | NM | INSURANCE LICENSE |
| P131539 | Other | NM | CERTIFIED PUBLIC ACCOUNTANT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395187200000",
"number": "1336489772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 WELLESLEY CT NE APT 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074455",
"telephone_number": "505-312-8815",
"fax_number": "505-212-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WELLESLEY CT NE APT 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074455",
"telephone_number": "505-312-8815",
"fax_number": "505-212-0991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKING LIFE SMILE ORGANIZATION, CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-21",
"last_updated": "2014-03-19",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "505-312-8815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE AUDITOR",
"identifier": "96645",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE LICENSE",
"identifier": "NPN738876",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PUBLIC ACCOUNTANT",
"identifier": "P131539",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.