SANDIA DENTAL CARE LLC (NPI# 1518345552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518345552 |
Entity Type | Organization |
Organization Name | SANDIA DENTAL CARE LLC |
Practice Address |
6800 Montgomery Blvd Ne Suite C Albuquerque NM 87109-1405 |
Practice Telephone | 5058848000 |
Practice Fax Number | 5058844012 |
Mailing Telephone | 5058848000 |
Mailing Fax Number | 5058844012 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-18 |
Authorized Official Name | DR. SARAH L KASSAM (OWNER) |
Authorized Official Telephone | 5058848000 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2810 | NM | Ambulatory Health Care Facilities |
Street Address |
6800 MONTGOMERY BLVD NE SUITE C |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87109-1405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346217775 | John Compton Mitchell | Dentist | 6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405 | 2006-03-03 |
1750714911 | Fede Family Dentistry LLC | Dentist | 6800 Montgomery Blvd Ne, J, Albuquerque, NM 87109-1405 | 2013-08-12 |
1134493232 | Pain Management and Special Care Medicine | Acupuncturist | 6800 Montgomery Blvd Ne, Suite E, Albuquerque, NM 87109-1405 | 2012-03-07 |
1437427929 | Pediatric and Special Care Dentistry | Dentist | 6800 Montgomery Blvd Ne, Suite F, Albuquerque, NM 87109-1405 | 2011-12-12 |
1336370477 | Cassie Isabelle Fede | Dentist | 6800 Montgomery Blvd Ne, J, Albuquerque, NM 87109-1405 | 2009-08-06 |
1184853079 | All 4 8's PC | Clinic/Center | 6800 Montgomery Blvd Ne, Suite O, Albuquerque, NM 87109-1405 | 2009-07-13 |
1689876963 | Oral and Maxillofacial Surgery Associate of New Mexico, P.a. | Dentist | 6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405 | 2007-05-31 |
1649494279 | James E Twohig Dds Pa | Dentist | 6800 Montgomery Blvd Ne, Suite E, Albuquerque, NM 87109-1405 | 2007-04-13 |
1205050044 | Maryrose Twohig | Dentist | 6800 Montgomery Blvd Ne, Suite E, Albuquerque, NM 87109-1405 | 2007-04-12 |
1932228228 | Teresa I Ramos-belfon | Dental Hygienist | 6800 Montgomery Blvd Ne, Suite F, Albuquerque, NM 87109-1405 | 2007-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
Find all providers in zip 87109 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124512488 | Stacey Montano Dds LLC | Clinic/Center | 3901 Georgia St Ne Ste G1, Albuquerque, NM 87110-1388 | 2018-06-20 |
1003300393 | Napa Dental Management, LLC | Clinic/Center | 10820 Comanche Rd Ne Ste D, Albuquerque, NM 87111-3983 | 2018-06-19 |
1871042457 | Dental House Trade Winds, LLC | Clinic/Center | 5400 Central Ave Se, Suite C-101, Albuquerque, NM 87108-1502 | 2016-09-24 |
1528437258 | Anywhere Dental Care | Clinic/Center | 28 Canada De Los Alamos Trl Se, Albuquerque, NM 87123-9504 | 2015-09-23 |
1871961045 | Gregory R Mcallister, Dds, LLC | Clinic/Center | 5910 Cubero Dr Ne Ste B, Albuquerque, NM 87109-3868 | 2015-09-04 |
1003299173 | Sunshine Dental, PC | Clinic/Center | 10411 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2015-07-07 |
1356690788 | Alegre Dental | Clinic/Center | 2116 Vista Oeste Nw #202, Albuquerque, NM 87120 | 2012-08-30 |
1215243985 | Dr. David J Harnick D.d.s.,m.s.d. | Clinic/Center | 8631 Golf Course Rd Nw Ste F, Albuquerque, NM 87114-6347 | 2010-08-19 |
1932332285 | Stephen A. Wagner Dds,pc | Clinic/Center | 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 | 2009-09-02 |
1447427513 | Uptown Park Dental Practice, LLC | Clinic/Center | 2100 Louisiana Blvd Ne, Suite 104, Albuquerque, NM 87110-5419 | 2008-05-08 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87109 |
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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.