Creating Smiles for Sucess

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2322 Issued in NM

Legal business name

CREATING SMILES FOR SUCESS

Practice address

8300 San Pedro Dr NE
Albuquerque, NM 87113-1703

Phone

(505) 323-3630

Fax

(505) 323-1574

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Herlinda Quintana, MS,ED,MPA

Title

Consultant

Phone

(505) 292-1582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497828115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131703",
            "telephone_number": "505-323-3630",
            "fax_number": "505-323-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131703",
            "telephone_number": "505-323-3630",
            "fax_number": "505-323-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING SMILES FOR SUCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "HERLINDA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "505-292-1582",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,ED,MPA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "2322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.