Active NPI
Jade Vigil, DDS
- General Practice Dentistry
- Santa Fe, NM
National Provider Identifier
1659058980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DB-2023-0125
- Practice address
- 1439 S Saint Francis Dr
Santa Fe, NM 87505-4037 - Phone
- (505) 473-5437
- NPI assigned
- Jun 28, 2023
- Last updated
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DB-2023-0125 | NM | Primary |
Addresses
Primary practice location
1439 S Saint Francis Dr
Santa Fe, NM 87505-4037
Mailing address
2546 Calle de Rincon Bonito
Santa Fe, NM 87505-5639
Phone (505) 577-5803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB-2023-0125 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Child Dental, LLC | Current | Accepting new patients |
Locations
1439 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 473-5437
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1659058980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 CALLE DE RINCON BONITO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055639",
"telephone_number": "505-577-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 S SAINT FRANCIS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054037",
"telephone_number": "505-473-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "JADE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DB-2023-0125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.