Chinea Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3249 Issued in NM

Legal business name

CHINEA DENTAL LLC

Practice address

2101 S 1St St
Tucumcari, NM 88401-3807

Phone

(575) 268-1679

Fax

(505) 990-7514

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Susana Chinea

Title

Ceo

Phone

(575) 268-1679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1386987253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S 1ST ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013807",
            "telephone_number": "575-268-1679",
            "fax_number": "505-990-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S 1ST ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013807",
            "telephone_number": "575-268-1679",
            "fax_number": "505-990-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINEA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "CHINEA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-268-1679"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladonna Lee Chacon, AGPCNP-C
• Adrian Chavarria, TFC
• Michelle Chavez
• Steve J Chavez
• Child and Family Wellness, PC
• City of Tucumcari
• Martha Cole, LMSW
• David L Crane, LPCC
• Cross Arrow Medical Group LLC
• Ronald Cross, PTA

• General Practice Dentistry in Tucumcari, NM
• Providers in Tucumcari, 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 Mar 29, 2013; 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.