Organization Active NPI

Smiles for NM Kids

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1386984466
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jan 6, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Practitioners & affiliated clinicians

Practitioners 4

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": "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.

Verify at the official NPI Registry.