Pediatric Dental Associates of NM PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

PT0111434 Issued in NM

Legal business name

PEDIATRIC DENTAL ASSOCIATES OF NM PC

Practice address

8501 Candelaria Rd NE
NE Suite D-2
Albuquerque, NM 87112-1034

Phone

(505) 299-9606

Fax

(505) 299-9740

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Spencer John Tasker, DMD

Title

Owner/Dentist

Phone

(505) 892-9010

Specialties & licenses 1

Addresses

Other names 1

• smiles for kids Doing business as

Tax ID family

Pediatric Dental Associates of NM PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tasker Hatch Rowan LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1134425895
  NPD tax ID
• Tasker Hatch Rowan LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1891011052
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Baldwin Cox, D.D.S.

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1972733822
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1609176569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE",
            "address_2": "NE SUITE D-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121034",
            "telephone_number": "505-299-9606",
            "fax_number": "505-299-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE",
            "address_2": "NE SUITE D-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121034",
            "telephone_number": "505-299-9606",
            "fax_number": "505-299-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES OF NM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "TASKER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "505-892-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "PT0111434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smiles for kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R Pederson, MD
• Pediatric and Special Care Dentistry
• Pediatric Associates
• Pediatric Associates, PA
• Pediatric Cardiology Associates of New Mexico PC
• Pediatric Health Services PC
• Pediatric Speech Services of Albuquerque
• Pediatric Therapy Inc.
• Pediatrix Cardiology of New Mexico, P.C.
• Pediatrix Medical Group of New Mexico, P.C.

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, 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 26, 2010; 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.