Summit Family Dental of Farmington, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CS00213848 Issued in NM

Legal business name

SUMMIT FAMILY DENTAL OF FARMINGTON, LLC

Practice address

800 E 30TH St BLDG 3
Farmington, NM 87401-9407

Phone

(505) 327-9161

NPI assigned

Feb 3, 2012

Last updated

Oct 15, 2020By 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

Lisa Hodges

Title

Operations Director

Phone

(505) 787-2965

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jordan S Arnell, DMD

  • Dentist
  • Farmington, NM
  • NPI 1801201017
  NPD
• Aaron D Rasmussen, DDS

  • Dentist
  • Farmington, NM
  • NPI 1578721718
  NPD
• Kasey William Tea, D.D.S.

  • Dentist
  • NPI 1114319845
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1427320654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6588 E MAIN STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-326-6800",
            "fax_number": "505-326-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 30TH ST BLDG 3",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019407",
            "telephone_number": "505-327-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY DENTAL OF FARMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "505-787-2965"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "CS00213848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Lee Stromeyer
• Lawrence Eric Suazo, D.D.S.
• Helen Sudkamp-Walker, APRN
• Steve T Sullivan, RDH
• Monique Lavae Summers, RN
• Emily Sumrall, RN, BSN
• V Sapphire Sun Hort, LADAC
• Sunburst Therapy,LLC
• Sundance Family Dental
• Sunrise Chiropractic LLC

• General Practice Dentistry in Farmington, NM
• Providers in Farmington, 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 Oct 15, 2020; 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.