Summit Family Dental of Bernalillo, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUMMIT FAMILY DENTAL OF BERNALILLO, LLC

Practice address

7800 Carr Way NE Ste 105
Rio Rancho, NM 87144-0900

Phone

(505) 327-9161

NPI assigned

Feb 16, 2021

Last updated

Mar 8, 2021By 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

Lisa Hodges

Title

Operations Director

Phone

(505) 787-2965

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jordan S Arnell, DMD

  • Dentist
  • Farmington, NM
  • NPI 1801201017
  NPD
• Aaron D Rasmussen, DDS

  • Dentist
  • Farmington, NM
  • NPI 1578721718
  NPD
• Kasey William Tea, D.D.S.

  • Dentist
  • NPI 1114319845
  NPD (past)

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1346833878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 30TH ST BLDG 3",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019407",
            "telephone_number": "505-327-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 CARR WAY NE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440900",
            "telephone_number": "505-327-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY DENTAL OF BERNALILLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "505-787-2965"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Sudlow
• Avalon Suenram
• Robert Patrick Sullivan
• Ashley Summerbell
• Nathan L Summers
• Sundance Dental Care of Rio Rancho, LLC
• Sunset Counseling LLC
• Susan M Burns-Sanchez
• Mandi Kay Sussex-Uphold, LMT
• Rachel Alysun Sutherlin, LCSW

• Dental Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.