NPIMap

Organization Active NPI

NM Smiles

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1992091821
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD1503 Issued in NM
Legal business name
NM SMILES
Practice address
4943 Story Rock St NW
Albuquerque, NM 87120-3703
Phone
(505) 980-0070
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Gale E Jancsics, RDHNPI 1477849305
Title
Owner
Phone
(505) 980-0070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD1503 NM Primary
Dental Hygienist 124Q00000X DH2266 NM

Addresses

Primary practice location

4943 Story Rock St NW
Albuquerque, NM 87120-3703

Mailing address

4943 Story Rock St NW
Albuquerque, NM 87120-3703
Phone (505) 980-0070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1992091821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 STORY ROCK ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203703",
            "telephone_number": "505-980-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 STORY ROCK ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203703",
            "telephone_number": "505-980-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "JANCSICS",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-980-0070",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD1503",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH2266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2011; 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.