Organization Active NPI

Tasker, Hatch, Rowan, LLC

  • Pediatric Dentistry
  • Albuquerque, NM
National Provider Identifier
1891317426
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TASKER, HATCH, ROWAN, LLC
Practice address
9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6440
Phone
(505) 892-9010
Fax
(505) 899-4804
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Ebonie Gonzales
Title
Credentialing Manager
Phone
(505) 850-3769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6440

Mailing address

9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6440
Phone (505) 892-9010

Other names 1

  • Tasker, Hatch, Rowan, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Tasker Hatch Rowan LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

9201 Eagle Ranch Rd NW
Albuquerque, NM 87114
Phone (505) 553-3607

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1891317426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146440",
            "telephone_number": "505-892-9010",
            "fax_number": "505-899-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146440",
            "telephone_number": "505-892-9010",
            "fax_number": "505-899-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASKER, HATCH, ROWAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "505-850-3769"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tasker, Hatch, Rowan, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.