ENCINO DENTAL CARE, INC. (NPI# 1184082125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184082125 |
| Entity Type | Organization |
| Organization Name | ENCINO DENTAL CARE, INC. |
| Practice Address |
717 Encino Pl Ne Suite 7 Albuquerque NM 87102-2611 |
| Practice Telephone | 5058439636 |
| Practice Fax Number | 5058436277 |
| Mailing Telephone | 5058439636 |
| Mailing Fax Number | 5058436277 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | DR. PHILLIP RICHARDSON (OWNER) |
| Authorized Official Telephone | 5058439636 |
| Authorized Official Credential | CPDH, DOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 812 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225058761 | Encino Dental Care, Inc. | Dentist | 717 Encino Place Ne Suite 7, Albuquerque, NM 87102 | 2006-07-20 |
| Street Address |
717 ENCINO PL NE SUITE 7 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945494 | Pharmacy Capital LLC | Pharmacy | 717 Encino Pl Ne, Ste 1, Albuquerque, NM 87102-2611 | 2005-10-12 |
| 1154874303 | Shannon Pitcher | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2016-07-24 |
| 1124470703 | Life Family Healthcare, LLC | Clinic/Center | 717 Encino Pl Ne, Suite 4, Albuquerque, NM 87102-2611 | 2016-07-07 |
| 1942669460 | Aaahh Chirospa LLC | Chiropractor | 717 Encino Pl Ne, Ste 24, Albuquerque, NM 87102-2611 | 2016-02-11 |
| 1093190936 | Scott Ricci | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2015-07-21 |
| 1376925164 | George Chandran Md | Internal Medicine | 717 Encino Pl Ne, Suite 19, Albuquerque, NM 87102-2611 | 2015-06-29 |
| 1083092092 | Pamela Gutierrez | Registered Nurse | 717 Encino Pl Ne, Suite 28, Albuquerque, NM 87102-2611 | 2015-05-11 |
| 1881003648 | Kapil Grewal | Dentist | 717 Encino Pl Ne, Ste 6, Albuquerque, NM 87102-2624 | 2014-08-06 |
| 1922426295 | Tamela Szaloy | Pharmacist | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2014-04-02 |
| 1174883508 | Tirzah K Alva | Counselor | 717 Encino Pl Ne, Albuquerque, NM 87102-2611 | 2012-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1700393733 | Utopia Dental Care,llc | Dental Hygienist | 1100 Lomas Blvd Nw Ste 1a, Albuquerque, NM 87102-1878 | 2017-12-28 |
| 1992229751 | Natasha Lynn Trujillo | Dental Hygienist | 1201 Stutz Dr Ne, Albuquerque, NM 87112-6232 | 2017-08-02 |
| 1548710437 | Sheila Hudson | Dental Hygienist | 10700 Academy Rd Ne, Apt # 921, Albuquerque, NM 87111-7378 | 2016-10-04 |
| 1790136745 | Jessica Gonzales | Dental Hygienist | 4800 Cutler Ave Ne, Albuquerque, NM 87110-4033 | 2016-06-30 |
| 1801259759 | Yvette Granados | Dental Hygienist | 3520 Montgomery Blvd Ne, Albuquerque, NM 87107-4846 | 2016-03-29 |
| 1811364136 | Johanna Mccoy | Dental Hygienist | 4400 Cutler Avenue Nw, Albuquerque, NM 87110 | 2015-08-24 |
| 1982087045 | Lisa Mercer | Dental Hygienist | 1500 Villa Del Valle Ne, Albuquerque, NM 87113-1096 | 2015-07-07 |
| 1699152017 | Lyumila Shapiro | Dental Hygienist | 920 Seattle Slew Ave Se, Albuquerque, NM 87123-2326 | 2015-05-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.