Organization Active NPI

Santa Fe Children's Dentistry

  • Pediatric Dentistry
  • Santa Fe, NM
National Provider Identifier
1386056737
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SANTA FE CHILDREN'S DENTISTRY
Practice address
2008 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-7682
Phone
(505) 892-9010
Fax
(505) 899-4804
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Mr. James Tasker
Title
Owner
Phone
(505) 892-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2008 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-7682

Mailing address

8201 Golf Course Rd NW
Suite C-3
Albuquerque, NM 87120-5842
Phone (505) 892-9010

National Provider Directory

National Provider Directory

Locations

2008 Saint Michaels Dr
Ste B
Santa Fe, NM 87505
Phone (505) 474-4993

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1386056737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 GOLF COURSE RD NW",
            "address_2": "SUITE C-3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205842",
            "telephone_number": "505-892-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 SAINT MICHAELS DR",
            "address_2": "SUITE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057682",
            "telephone_number": "505-892-9010",
            "fax_number": "505-899-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "TASKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-892-9010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2014; 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.