NPIMap

Organization Active NPI

Kpu Dental LLC

Doing business as Milagro Dental

  • Dental Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1346896958
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KPU DENTAL LLC
Doing business as
Milagro Dental
Practice address
2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112
Phone
(505) 982-9222
Fax
(505) 982-7114
NPI assigned
Aug 11, 2019
Last updated
Aug 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Authorized official

Name
Dr. Katarzyna Ujda, DDSNPI 1437440286
Title
Dentist Owner
Phone
(505) 982-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112

Mailing address

2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112
Phone (505) 982-9222

Other practice location 1

2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112
Phone (505) 982-9222

Other identifiers 1

IdentifierTypeStateIssuer
DD3665OtherNMDENTAL LICENSE

Other names 1

  • Milagro Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2019 Galisteo St
Ste L2
Santa Fe, NM 87505
Phone (505) 982-9222

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1346896958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE L2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052112",
            "telephone_number": "505-982-9222",
            "fax_number": "505-982-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE L2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052112",
            "telephone_number": "505-982-9222",
            "fax_number": "505-982-7114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Galisteo St Ste L2",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875052112",
            "country_code": "US",
            "telephone_number": "505-982-9222",
            "fax_number": "505-982-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KPU DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "UJDA",
        "authorized_official_first_name": "KATARZYNA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "505-982-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DD3665",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milagro Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.