MS. SANDRA A SMITH (NPI# 1609955194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609955194 |
| Entity Type | Individual |
| Full Name | MS. SANDRA A SMITH |
| Credential | DDS |
| Practice Address |
5000 Menaul Blvd Ne Ste B Albuquerque NM 87110-3046 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 5058721212 |
| Practice Fax Number | 5058721213 |
| Mailing Telephone | 7195761850 |
| Mailing Fax Number | 7199553470 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD3611 | NM | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
19025429 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 45125252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157172 | Sandra Smith | Massage Therapist | 468 N Pond Fork Rd, Westminster, SC 29693-3218 | 2020-08-31 |
| 1366055832 | Sandra Gayle Smith | Technician | 270 Hickory Ln, Augusta, WV 26704-8429 | 2020-08-25 |
| 1528693389 | Sandra Yvette Smith | Registered Nurse | 8222 Beach Way Dr, Blaine, WA 98230-9581 | 2020-03-11 |
| 1619435260 | Sandra Smith | Private Vehicle | 6074 Charles Ave, Fayetteville, NC 28311-1286 | 2019-03-03 |
| 1164905964 | Sandra Louise Smith | Social Worker | 12 White Pine Ln, Kingston, MA 02364-1046 | 2018-09-08 |
| 1932621711 | Sandra Smith | Community Health Worker | 7103 Nw 73rd Ave, Tamarac, FL 33321-5467 | 2017-07-12 |
| 1386049823 | Sandra M Smith | Chiropractor | 10620 N 38th St, Phoenix, AZ 85028-3414 | 2014-10-27 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1154743649 | Sandra Mae Smith | Physical Therapy Assistant | 430 Lily Rd. Ne, Olympia, WA 98506 | 2014-01-17 |
| 1154754091 | Sandra Kelly Smith | Developmental Therapist | 8057 W Duane Dr, Frankfort, IL 60423-8102 | 2013-08-14 |
| Street Address |
5000 MENAUL BLVD NE STE B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328054 | Savannah L Stadelmaier | Dentist | 5000 Menaul Blvd Ne Ste B, Albuquerque, NM 87110-3046 | 2019-07-24 |
| 1669675385 | Robert W. Johansen | Dentist | 5000 Menaul Blvd Ne Ste B, Albuquerque, NM 87110-3046 | 2007-06-08 |
| 1205953023 | Bernardo Behrens | Optometrist | 5000 Menaul Blvd Ne Ste B, Albuquerque, NM 87110-3046 | 2007-03-25 |
| 1710066972 | Aurora Virgen Zink | Dentist | 5000 Menaul Blvd Ne Ste B, Albuquerque, NM 87110-3046 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on MS. SANDRA A SMITH.
| 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.