Active NPI
Smiles for NM Kids
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1386984466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILES FOR NM KIDS
- Practice address
- 8201 Golf Course Rd NW
Albuquerque, NM 87120-5842 - Phone
- (505) 892-9010
- NPI assigned
- Feb 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebonie Marie Bogdan
- Title
- Billibng Specialist
- Phone
- (505) 850-3769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
8201 Golf Course Rd NW
Albuquerque, NM 87120-5842
Mailing address
8201 Golf Course Rd NW
Albuquerque, NM 87120-5842
Phone (505) 892-9010
National Provider Directory
National Provider DirectoryLocations
8201 Golf Course Rd NW
Albuquerque, NM 87120
Phone (505) 800-7070
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Albuquerque, NM
- NPI 1134425895
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Albuquerque, NM
- NPI 1285040337
-
- Dentist
- Deming, NM
- NPI 1346655974
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Folsom, CA
- NPI 1225381007
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388966400000",
"number": "1386984466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 GOLF COURSE RD NW",
"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": "8201 GOLF COURSE RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871205842",
"telephone_number": "505-892-9010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES FOR NM KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-26",
"last_updated": "2014-01-06",
"status": "A",
"authorized_official_last_name": "BOGDAN",
"authorized_official_first_name": "EBONIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "BILLIBNG SPECIALIST",
"authorized_official_telephone_number": "505-850-3769"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"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 Jan 6, 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.