NPIMap

Organization Active NPI

Pueblo de Ninos Dental, PC

  • Pediatric Dentistry
  • Santa Fe, NM
National Provider Identifier
1720305105
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DD3017 Issued in NM
Legal business name
PUEBLO DE NINOS DENTAL, PC
Practice address
3252 Cerrillos Rd Ste a
Santa Fe, NM 87507-3001
Phone
(505) 603-5594
NPI assigned
Apr 26, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Daniel A Borrero, DDSNPI 1043401268
Title
President
Phone
(505) 603-5594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DD3017 NM Primary

Addresses

Primary practice location

3252 Cerrillos Rd Ste a
Santa Fe, NM 87507-3001

Mailing address

3001 Sandia Cir
Santa Fe, NM 87507-2527
Phone (505) 603-5594

National Provider Directory

National Provider Directory

Locations

3252 Cerrillos Rd
Ste A
Santa Fe, NM 87507
Phone (505) 603-5594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1720305105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SANDIA CIR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072527",
            "telephone_number": "505-603-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 CERRILLOS RD STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073001",
            "telephone_number": "505-603-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO DE NINOS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-603-5594",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "DD3017",
            "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 Apr 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.