Organization Active NPI

Smart Smiles Dental Care LLC

  • Dental Hygienist
  • Carlsbad, NM
National Provider Identifier
1831447093
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH535 Issued in NM
Legal business name
SMART SMILES DENTAL CARE LLC
Practice address
1104 N Shore Dr
Carlsbad, NM 88220-4638
Phone
(575) 302-6677
NPI assigned
Aug 20, 2012
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Mrs. Peggy H Hyden, RDHNPI 1497007918
Title
Owner/Dental Hygienist
Phone
(575) 302-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH535 NM Primary

Addresses

Primary practice location

1104 N Shore Dr
Carlsbad, NM 88220-4638

Mailing address

1104 N Shore Dr
Carlsbad, NM 88220-4638
Phone (575) 302-6677

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, 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": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1831447093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N SHORE DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204638",
            "telephone_number": "575-302-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N SHORE DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204638",
            "telephone_number": "575-302-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SMILES DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "HYDEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DENTAL HYGIENIST",
        "authorized_official_telephone_number": "575-302-6677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.