DR. MICHAEL J FANNING (NPI# 1700153475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700153475 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J FANNING |
| Credential | D.D.S., M.S.D. |
| Practice Address |
8212 Louisiana Blvd Ne Ste A Albuquerque NM 87113-2105 |
| Mailing Address |
5507 Eakes Rd Nw Los Ranchos NM 87107-5529 |
| Practice Telephone | 5054009855 |
| Mailing Telephone | 5054009855 |
| Enumeration Date | 2011-11-24 |
| Last Update Date | 2011-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DD3356 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898375 | Michael R.r. Fanning | Student in an Organized Health Care Education/Training Program | 722 Sw Sosa Pl, Beaverton, OR 97003-1643 | 2019-02-25 |
| 1871057828 | Michael Peyton Fanning | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-01-23 |
| 1538691357 | Michael Thomas Fanning | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2017-03-30 |
| 1568837425 | Michael James Fanning | Physician Assistant | 2001 Inwood Rd, Dallas, TX 75390-7201 | 2015-12-03 |
| 1790184638 | Michael Fanning | Psychologist | 210 W Oak St, Palestine, TX 75801-2710 | 2014-08-15 |
| 1306072756 | Michael Dean Fanning | Marriage & Family Therapist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2009-05-29 |
| 1245341411 | Michael John Fanning | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
| 1811977127 | Michael James Fanning | Allergy & Immunology | 500 Corporate Pkwy, Suite 100, Amherst, NY 14226-1263 | 2006-01-20 |
| Street Address |
8212 LOUISIANA BLVD NE STE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| 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 |
|---|---|---|---|---|
| 1215339270 | Thomas Dunn | Dentist | 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 | 2014-09-22 |
| 1154565851 | Dana M Casaus | Dentist | 5910 Cubero Dr Ne, Suite D, Albuquerque, NM 87109-3842 | 2009-04-24 |
| 1164694287 | Cottonwood Orthodontics, PC | Dentist | 3730 Ellison Rd Nw, Suite B, Albuquerque, NM 87114-7009 | 2008-03-28 |
| 1144423211 | Jack R Ray | Dentist | 4504 4th St Nw, Albuquerque, NM 87107 | 2007-06-07 |
| 1396957460 | Randy Gail Alkire | Dentist | 12000 Holly Ave Ne, Albuquerque, NM 87122-1260 | 2007-05-03 |
| 1689798944 | Helen D Bush | Dentist | 2800-a Coors Blvd. Nw, Albuquerque, NM 87120 | 2007-03-19 |
| 1497880694 | David J Harnick | Dentist | 8631 F Golf Course, Nw, Albuquerque, NM 87114 | 2007-02-21 |
| 1629127105 | Harnick & Anderson LLP | Dentist | 7520 Montgomery Blvd Ne Bldg D9, Albuquerque, NM 87109-1533 | 2007-01-10 |
| 1891858940 | Darren Haltom | Dentist | 10433 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2006-12-19 |
| 1497828115 | Creating Smiles for Sucess | Dentist | 8300 San Pedro Dr Ne, Albuquerque, NM 87113-1703 | 2006-11-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
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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.