NPIMap

Organization Active NPI

Angel Fire Family Dentistry PC

  • General Practice Dentistry
  • Angel Fire, NM
National Provider Identifier
1972770071
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANGEL FIRE FAMILY DENTISTRY PC
Practice address
27479 Hwy 64
Angel Fire, NM 87710
Phone
(575) 377-1383
Fax
(575) 377-1383
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Strider Aragorn McCash, DDSNPI 1376533216
Title
Owner
Phone
(575) 377-1383

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

27479 Hwy 64
Angel Fire, NM 87710

Mailing address

HCR 71 Box 85
Eagle Nest, NM 87718
Phone (575) 377-1383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1972770071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCR 71 BOX 85",
            "city": "EAGLE NEST",
            "state": "NM",
            "postal_code": "87718",
            "telephone_number": "575-377-1383",
            "fax_number": "575-377-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27479 HWY 64",
            "city": "ANGEL FIRE",
            "state": "NM",
            "postal_code": "87710",
            "telephone_number": "575-377-1383",
            "fax_number": "575-377-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL FIRE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MCCASH",
        "authorized_official_first_name": "STRIDER",
        "authorized_official_middle_name": "ARAGORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-377-1383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angel Fire, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.