NPIMap

Organization Active NPI

Dental del Sol, LLC

  • Dental Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1962889030
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD2992 Issued in NM
Legal business name
DENTAL DEL SOL, LLC
Practice address
1533 S Saint Francis Dr Ste F
Santa Fe, NM 87505-4032
Phone
(505) 954-1073
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Jacquelyn Gomez-Bartek, D.D.S.NPI 1902066335
Title
Owner Dentist
Phone
(505) 310-3603

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 Clinic/Center 261QD0000X DD2992 NM Primary

Addresses

Primary practice location

1533 S Saint Francis Dr Ste F
Santa Fe, NM 87505-4032

Mailing address

1533 S Saint Francis Dr Ste F
Santa Fe, NM 87505-4032
Phone (505) 954-1073

National Provider Directory

National Provider Directory

Locations

1533 S Saint Francis Dr
Ste F
Santa Fe, NM 87505
Phone (505) 954-1073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1962889030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S SAINT FRANCIS DR STE F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054032",
            "telephone_number": "505-954-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S SAINT FRANCIS DR STE F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054032",
            "telephone_number": "505-954-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEL SOL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-BARTEK",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "505-310-3603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD2992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.