Alliance Oral Health Care, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4453 Issued in NM

Legal business name

ALLIANCE ORAL HEALTH CARE, P.C.

Practice address

130 Siringo Rd Ste 201
Santa Fe, NM 87505-5864

Phone

(505) 557-6655

NPI assigned

Sep 6, 2017

Last updated

Jul 21, 2022By 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. Samtha Brotherton, DDS

Title

President

Phone

(703) 593-6238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861910283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SIRINGO RD STE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055864",
            "telephone_number": "505-557-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SIRINGO RD STE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055864",
            "telephone_number": "505-557-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ORAL HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROTHERTON",
        "authorized_official_first_name": "SAMTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-593-6238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.