Sparkling Smiles Dental

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

SPARKLING SMILES DENTAL

Practice address

710 E Santa Fe Ave
Grants, NM 87020

Phone

(505) 350-6046

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Amanda J Baca, RDHNPI 1679442669

Title

Owner

Phone

(505) 350-6046

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Jo Baca

  • Dental Hygienist
  • Grants, NM
  • NPI 1679442669
  NPD Authorized official

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1689532137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E SANTA FE AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "87020",
            "telephone_number": "505-350-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E SANTA FE AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "87020",
            "telephone_number": "505-350-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-350-6046",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Kyer Stelly, RN
• Sandra Michelle Suazo, CHW
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• Jennifer Swank
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• Dental Hygienist in Grants, NM
• Providers in Grants, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.