DR. ANNE KALLISTA HARRISON


Address: 8501 Candelaria Rd Ne, Suite C1, Albuquerque, NM 87112-1034
Phone: 5052989600

DR. ANNE KALLISTA HARRISON (NPI# 1295090975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295090975
Entity Type Individual
Full Name DR. ANNE KALLISTA HARRISON
Other Name DR. ANNE KALLISTA JOHNSNO
Credential D.D.S
Practice Address 8501 Candelaria Rd Ne
Suite C1
Albuquerque
NM 87112-1034
Mailing Address 1922 Rio Grande Blvd Nw
Albuquerque
NM 87104-2524
Practice Telephone 5052989600
Mailing Telephone 5055044156
Enumeration Date 2012-07-09
Last Update Date 2013-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DD3696 NM Dental Providers

Other Providers ANNE HARRISON

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1164832168 Anne Harrison Physical Therapist Kentucky Clinic E214 740 South Limestone, Lexington, KY 40536-0297 2014-04-30
1124527312 Anne Elizabeth Harrison Social Worker 2007 E Quail Run Rd, Emmett, ID 83617-5059 2018-02-02
1528581733 Anne Harrison Specialist/Technologist 1020 N 2nd St, Atchison, KS 66002-1402 2017-07-19
1962706440 Anne Harrison Pharmacist 1601 Willow Lawn Dr, Richmond, VA 23230-3427 2010-12-27

Office Location

Street Address 8501 CANDELARIA RD NE
SUITE C1
City ALBUQUERQUE
State NM
Zip Code 87112-1034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720079635 Oscar Christopher Quintana Dentist 8501 Candelaria Rd Ne, Building C, Albuquerque, NM 87112-1034 2005-10-31
1598280760 Christopher Demarco Dentist 8501 Candelaria Rd Ne, Albuquerque, NM 87112-1034 2017-08-09
1083146641 Neuro Spring Acupuncturist 8501 Candelaria Rd Ne, D2, Albuquerque, NM 87112-1034 2017-03-31
1538431903 Quintana Dental Practice Dentist 8501 Candelaria Rd Ne, C-1, Albuquerque, NM 87112-1034 2012-02-01
1609176569 Pediatric Dental Associates of Nm PC Dentist 8501 Candelaria Rd Ne, Ne Suite D-2, Albuquerque, NM 87112-1034 2010-10-26
1972733822 Pamela Baldwin Cox Dentist 8501 Candelaria Rd Ne, Suite D2, Albuquerque, NM 87112-1034 2009-07-24
1770732208 Bretmgreenddspc Dentist 8501 Candelaria Rd Ne, Suite A2, Albuquerque, NM 87112-1034 2008-09-09
1629297791 Charles W. Kenney Dentist 8501 Candelaria Rd Ne, Suite D3, Albuquerque, NM 87112-1034 2007-04-25
1134240567 Perfect Teeth - Wyoming and Candelaria P.C. Dentist 8501 Candelaria Rd Ne, Suite D3, Albuquerque, NM 87112-1034 2007-04-03
1861411340 Jayne Lynn Carpenter Counselor 8501 Candelaria Rd Ne, Ste F2, Albuquerque, NM 87112-1034 2006-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356999411 Lynn Eileen Riley Counselor 10205 Stovall Pl Ne, Albuquerque, NM 87112 2019-08-30
1548818222 Cindy D Montoya Technician 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 2019-08-27
1194387449 Karen Sue Stockham Counselor 9024 Aspen Ave Ne, Albuquerque, NM 87112 2019-07-07
1316416837 New Beginning Counseling Services Inc Counselor 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 2018-11-14
1306365929 Calyx Institute LLC Social Worker 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 2017-09-14
1811411135 Annette Romero Case Manager/Care Coordinator 9741 Candelaria, Albuquerque, NM 87112 2017-07-28
1851814784 Ally Renee Funkhouser Dye Pediatrics 2130 Eubank Blvd Ne, Albuquerque, NM 87112 2017-07-23
1508303140 Makena Bailey Nash Behavior Technician 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 2017-01-20
1477978906 Albert R Toya Massage Therapist 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 2014-02-20
1184918104 Jennifer E Chavez Counselor 1505 Marron Circle Ne, Albuquerque, NM 87112 2011-06-07
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841803830 Tri Dental, LLC Dentist 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 2020-08-28
1609485077 Joseph Potter Dentist 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 2020-07-30
1861024861 Brian K Dennis Dds PC Dentist 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 2020-02-07
1134769235 Abq Dentists PC Dentist 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 2020-01-07
1477197804 Juan Tabo Dentistry LLC Dentist 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 2019-10-29
1013550094 Bosque Smiles Dentistry, LLC Dentist 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 2019-10-23
1134686298 Brandon James Clayton Dentist 2003 Southern Blvd Se # 133-134, Albuquerque, NM 87124-3751 2019-02-25
1881158822 Advantage Dental Care Dentist 9212 Montgomery Blvd Ne, Albuquerque, NM 87111-2408 2019-01-23
1124599253 Kirtland Family Dentistry LLC Dentist 8521 Central Ave Ne Ste 101, Albuquerque, NM 87108-2501 2018-12-16
1962998443 Salia Khayoumi Dentist 333 San Mateo Blvd Se, Albuquerque, NM 87108-2919 2018-07-08
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Competitor

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City ALBUQUERQUE
Zip Code 87112

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Dataset Information

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.

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