New Mexico Dental Institute Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEW MEXICO DENTAL INSTITUTE INC

Practice address

204B Neel Ave
Socorro, NM 87801-4649

Phone

(575) 993-5032

Fax

(505) 226-9697

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 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

Dr. George HannaNPI 1881755825

Title

Owner

Phone

(575) 993-5032

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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.

• George Hanna, DMD

  • Dentist
  • Socorro, NM
  • NPI 1881755825
  Authorized official Same address or phone

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1366101305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204B NEEL AVE",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014649",
            "telephone_number": "575-993-5032",
            "fax_number": "505-226-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204B NEEL AVE",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014649",
            "telephone_number": "575-993-5032",
            "fax_number": "505-226-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO DENTAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-993-5032",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89223829",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CEO@NEWMEXICODENTALINSTITUTE.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "204B Neel Ave",
            "city": "Socorro",
            "state": "NM",
            "country_code": "US",
            "postal_code": "878014649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Musello
• Deborah Anne Nagy, MD
• Anna Nance, APRN-CNP
• Santiago A Naranjo
• Beatriz Y Nava-Mendoza, LPCC
• NM Dental Group LLC
• Mary A Norman, CFNP
• Matthew P O'Toole, OTR/L
• Charles Bonner Oates, D.D.S.
• Angela A Ochoa, BA

• General Practice Dentistry in Socorro, NM
• Providers in Socorro, 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 Dec 16, 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.