Individual provider Active NPI

Tamara Louise Donald, RDH

  • Dental Hygienist
  • Pecos, NM
National Provider Identifier
1760464101
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH2409 Issued in NM
Practice address
199 NM-50
Pecos, NM 87552-8701
Phone
(505) 757-6666
Fax
(505) 757-6968
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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

LicenseStateTypeSpecialty
DH2409NMMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Past Accepting new patients
First Choice Community Healthcare, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tamara.donald.p1@direct.pmsnm.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH2409 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

199 NM-50
Pecos, NM 87552-8701

Mailing address

PO Box 710
Pecos, NM 87552-0710
Phone (505) 757-6666

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2021.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1760464101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875520710",
            "telephone_number": "505-757-6666",
            "fax_number": "505-873-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NM-50",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875528701",
            "telephone_number": "505-757-6666",
            "fax_number": "505-757-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "TAMARA",
        "middle_name": "LOUISE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pecos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.