VALENCIA FAMILY DENTAL (NPI# 1548669294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548669294 |
| Entity Type | Organization |
| Organization Name | VALENCIA FAMILY DENTAL |
| Practice Address |
3472 State Highway 47 Los Lunas NM 87031-8222 |
| Mailing Address |
Po Box 1298 Los Lunas NM 87031-1298 |
| Practice Telephone | 5058659788 |
| Practice Fax Number | 5055650422 |
| Mailing Telephone | 5058659788 |
| Mailing Fax Number | 5055650422 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | DR. ERIC M SMITH (OWNER) |
| Authorized Official Telephone | 5058659788 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
3472 STATE HIGHWAY 47 |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-8222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326112798 | Jeff M Jaramillo | Dentist | 3472 State Highway 47, Los Lunas, NM 87031-8222 | 2006-11-20 |
| 1215465760 | Jonathan J. Aragon | Dentist | 3472 State Highway 47, Los Lunas, NM 87031-8222 | 2017-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063576 | Clovis Orthodontics, Pllc | Dentist | 901 E 21st St Ste A, Clovis, NM 88101-4492 | 2020-11-05 |
| 1053956466 | Cabezon Orthodontics | Dentist | 2401 Cabezon Blvd Se Ste 104, Rio Rancho, NM 87124-1513 | 2019-11-08 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| 1558746099 | Las Cruces Smiles | Dentist | 1160 Commerce Dr Ste B, Las Cruces, NM 88011-8209 | 2015-07-27 |
| 1215339270 | Thomas Dunn | Dentist | 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 | 2014-09-22 |
| 1871902593 | Sundance Orthodontics LLC | Dentist | 3903 Beckland Dr, Farmington, NM 87402-4701 | 2014-08-06 |
| 1750622072 | Orthodental PC | Dentist | 1748 W Maloney Ave, Gallup, NM 87301-3333 | 2013-03-12 |
| 1538416854 | Darmitzel Orthodontics, LLC | Dentist | 400 Kiva Ct Ste A, Santa Fe, NM 87505-5878 | 2012-08-06 |
| 1467722116 | Morris Orthodontics Pllc | Dentist | 1213c Us Highway 491, Gallup, NM 87301-4820 | 2012-01-11 |
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| Find all providers with the same taxonomy | ||||
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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.