NPIMap

Organization Active NPI

Enchanted Smiles

  • Dental Hygienist
  • Belen, NM
National Provider Identifier
1821430968
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH1276 Issued in NM
Legal business name
ENCHANTED SMILES
Practice address
305 Rio Communities Blvd
Belen, NM 87002-6168
Phone
(505) 864-2978
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Deanna Montoya, RDH
Title
Owner
Phone
(505) 550-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH1276 NM Primary

Addresses

Primary practice location

305 Rio Communities Blvd
Belen, NM 87002-6168

Mailing address

305 Rio Communities Blvd
Belen, NM 87002-6168
Phone (505) 864-2978

National Provider Directory

National Provider Directory

Locations

305 Rio Communities Blvd
Rio Communities, NM 87002
Phone (505) 864-2978

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1821430968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 RIO COMMUNITIES BLVD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870026168",
            "telephone_number": "505-864-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 RIO COMMUNITIES BLVD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870026168",
            "telephone_number": "505-864-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-550-8291",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH1276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.