Phillip Sanchez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3120 Issued in NM

Practice address

510 NM 528
Suite I
Bernalillo, NM 87004

Phone

(505) 867-0665

Fax

(505) 867-0180

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Perfect Teeth / Venada Plaza P.C.

  • General Practice Dentistry
  • Bernalillo, NM
  • NPI 1992035224
  NPD (past)
• Perfect Teeth - Loveland P.C.

  • General Practice Dentistry
  • Loveland, CO
  • NPI 1467573923
  NPD (past)
• Perfect Teeth - Speer P.C.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1386765774
  NPD (past)
• Perfect Teeth / Erie P.C

  • General Practice Dentistry
  • Erie, CO
  • NPI 1174876288
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1356334189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NM 528",
            "address_2": "SUITE I",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "87004",
            "telephone_number": "505-867-0665",
            "fax_number": "505-867-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NM 528",
            "address_2": "SUITE I",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "87004",
            "telephone_number": "505-867-0665",
            "fax_number": "505-867-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6771",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Sonya Ryan, MS, MA, LMSW
• Christine Saavedra, CNP
• Salas Care, Inc.
• Derek Salas, PT
• Jennifer Brooke Salazar, RDH
• Sandia Health Center
• Sandia Health Clinic Pharmacy
• Sandia PHS Health Center
• Sara B Sandoval
• Santa Ana Health Center

• General Practice Dentistry in Bernalillo, NM
• Providers in Bernalillo, 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 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.