Peter J Tafoya, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1051 Issued in NM

Practice address

404 Kiva CT Ste D
Santa Fe, NM 87505-5994

Phone

(505) 988-3804

Fax

(505) 988-5809

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peter J. Tafoya DDS LLC

  • Dentist
  • Santa Fe, NM
  • NPI 1053778944
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1720160609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 KIVA CT STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055994",
            "telephone_number": "505-988-3804",
            "fax_number": "505-988-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 KIVA CT STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055994",
            "telephone_number": "505-988-3804",
            "fax_number": "505-988-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus Fu-Cheng Sze, MD
• William Matias Szumigala, B.S PSYCHOLOGY
• Paul A. Tachau, O.D.
• Felice Tacktill
• Alyssa Tafoya
• Vincent Xavier Tafoya Jr.
• Tahlia Rainbolt, PHD, LLC
• Melvin H Takaki
• Tal Therapies LLC
• Destinee M Talamante

• Dentist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.