Sandi'S Smiles for Miles

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DH3281 Issued in NM

Legal business name

SANDI'S SMILES FOR MILES

Practice address

901 Rio Grande Blvd NW
154 G
Albuquerque, NM 87104-2057

Phone

(505) 480-7200

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Jean Ganshaw, NDO-RDHNPI 1578822607

Title

Owner

Phone

(505) 480-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sandra Jean Ganshaw, RDH

  • Dental Hygienist
  • Albuquerque, NM
  • NPI 1578822607
  NPD (past) Authorized official

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1982944245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 RANCHO VECINO CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205812",
            "telephone_number": "505-480-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW",
            "address_2": "154 G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042057",
            "telephone_number": "505-480-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDI'S SMILES FOR MILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "GANSHAW",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-480-7200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NDO-RDH"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NM",
            "license": "DH3281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rae Sanderson, CNS
• Linda Sanderville, MSW, LICSW, LCSW
• Melissa Ann Sandford
• Angad Sandhu
• Baljinder S Sandhu, MD
• Sandia Autism Services LLC
• Sandia Bilingual Therapies, LLC
• Sandia Chiropractic Care PC
• Sandia Counseling Center LLC
• Sandia Crest Autism Services, LLC

• Exclusive Provider Organization in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Exclusive Provider Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.