NPIMap

Organization Active NPI

Cabezon Pediatric Dentistry

  • Dental Clinic/Center
  • Rio Rancho, NM
National Provider Identifier
1801286299
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D2829 Issued in NM
Legal business name
CABEZON PEDIATRIC DENTISTRY
Practice address
2421 Cabezon Blvd SE
Rio Rancho, NM 87124-1515
Phone
(505) 884-5437
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Spencer J Tasker, D.M.D
Title
Owner
Phone
(505) 884-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D2829 NM Primary

Addresses

Primary practice location

2421 Cabezon Blvd SE
Rio Rancho, NM 87124-1515

Mailing address

2421 Cabezon Blvd SE
Rio Rancho, NM 87124-1515
Phone (505) 884-5437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1801286299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CABEZON BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241515",
            "telephone_number": "505-884-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CABEZON BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241515",
            "telephone_number": "505-884-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABEZON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "TASKER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-884-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "D2829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.