NPIMap

Organization Active NPI

Family Smiles, LLC

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1356633432
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3464 Issued in NM
Legal business name
FAMILY SMILES, LLC
Practice address
4201 Central Ave NW
F-1
Albuquerque, NM 87105-1630
Phone
(505) 843-7172
Fax
(505) 352-6689
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Frank Vonwesterhagen
Title
Owner / Dentist
Phone
(630) 759-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD3464 NM Primary

Addresses

Primary practice location

4201 Central Ave NW
F-1
Albuquerque, NM 87105-1630

Mailing address

4201 Central Ave NW
F-1
Albuquerque, NM 87105-1630
Phone (505) 843-7172

National Provider Directory

National Provider Directory
Tax ID family
Family Smiles LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4201 Central Ave NW
Ste F1
Albuquerque, NM 87105
Phone (505) 843-7172

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1356633432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW",
            "address_2": "F-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-843-7172",
            "fax_number": "505-352-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW",
            "address_2": "F-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-843-7172",
            "fax_number": "505-352-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "VONWESTERHAGEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "630-759-8808"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 9, 2011; 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.