New Mexico Smiles, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DD3014 Issued in NM

Legal business name

NEW MEXICO SMILES, INC.

Practice address

3812 Benjamin Davis Dr
Clovis, NM 88101-2721

Phone

(575) 218-3541

NPI assigned

Jun 15, 2010

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Strong Bunker, DMD

Title

Dentist

Phone

(575) 218-3541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1831410745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 BENJAMIN DAVIS DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 BENJAMIN DAVIS DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012721",
            "telephone_number": "575-218-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "STRONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "575-218-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Clovis, NM
• Providers in Clovis, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.