NPIMap

Organization Active NPI

Children'S Dental at Sonoma

  • General Practice Dentistry
  • Las Cruces, NM
National Provider Identifier
1972936235
Registry record updated Sep 11, 2014
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3462 Issued in NM
Legal business name
CHILDREN'S DENTAL AT SONOMA
Practice address
3340 Rinconada Blvd
Suite 2B
Las Cruces, NM 88011
Phone
(575) 382-2105
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Cory Thompson, D.M.D.
Title
Owner
Phone
(575) 382-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD3462 NM Primary

Addresses

Primary practice location

3340 Rinconada Blvd
Suite 2B
Las Cruces, NM 88011

Mailing address

3340 Rinconada Blvd
Suite 2B
Las Cruces, NM 88011
Phone (575) 382-2105

National Provider Directory

National Provider Directory

Locations

3340 Rinconada Blvd
Ste 2B
Las Cruces, NM 88011
Phone (575) 382-2105

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1972936235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 RINCONADA BLVD",
            "address_2": "SUITE 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-382-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 RINCONADA BLVD",
            "address_2": "SUITE 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-382-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL AT SONOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-382-2105",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.