Shirley Ann Fite, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH1218 Issued in NM

Practice address

2200 Grande Blvd SE
Suite a
Rio Rancho, NM 87124-1695

Phone

(505) 891-1500

Fax

(505) 891-8400

NPI assigned

Mar 9, 2006

Last updated

Apr 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grande Dentistry LLC

  dba Rio Rancho Dental Associates

  • General Practice Dentistry
  • Rio Rancho, NM
  • NPI 1972166262
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1821066317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-891-1500",
            "fax_number": "505-891-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-891-1500",
            "fax_number": "505-891-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITE",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH1218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Fife, DDS
• Tamara Michelle Filip
• Marcia Renee Filipiak, LPCC, LADAC, NCC
• Find Your Path, LLC
• Finding Wellness
• Anthony Fleg, MD, MPH
• David A Fleishman, TECH
• Shelby E Fleming
• Kayla Ash Flewelling, LMHC
• Jessica Lynn Floersheim, LISW

• Dental Hygienist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.