NPIMap

Organization Active NPI

VFD LTD

Doing business as Valencia Family Dentistry

  • General Practice Dentistry
  • Los Lunas, NM
National Provider Identifier
1790153484
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VFD LTD
Doing business as
Valencia Family Dentistry
Practice address
3472 Main Street NE
3472 Main Street NE
Los Lunas, NM 87031
Phone
(505) 865-9788
Fax
(505) 565-0422
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Dr. Timothy J Smith, DDS
Title
Owner
Phone
(505) 865-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3472 Main Street NE
3472 Main Street NE
Los Lunas, NM 87031

Mailing address

3472 Main Street NE
3472 Main Street NE
Los Lunas, NM 87031
Phone (505) 865-9788

Other names 1

  • Valencia Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3472 Main St NE
Los Lunas, NM 87031
Phone (505) 435-9461

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1790153484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 MAIN STREET NE",
            "address_2": "3472 MAIN STREET NE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-865-9788",
            "fax_number": "505-565-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 MAIN STREET NE",
            "address_2": "3472 MAIN STREET NE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-865-9788",
            "fax_number": "505-565-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VFD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-865-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valencia Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valencia Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.