Active NPI
Tamara Louise Donald, RDH
- Dental Hygienist
- Pecos, NM
National Provider Identifier
1760464101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH2409
- 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.
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1205097490
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1902993132
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 |
|---|---|---|---|
| DH2409 | NM | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Community Healthcare, Inc. | Past | Accepting new patients | |
| First Choice Community Healthcare, Inc. | Past | Accepting new patients |
Interoperability endpoints
- tamara.donald.p1@direct.pmsnm.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH2409 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary 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.