MARY BADDOUR (NPI# 1730630633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730630633 |
| Entity Type | Individual |
| Full Name | MARY BADDOUR |
| Credential | DDS |
| Practice Address |
510 E Lisa Dr Chaparral NM 88081 |
| Mailing Address |
385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 |
| Practice Telephone | 5758240128 |
| Practice Fax Number | 5758240179 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD4616 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 31004784 | 05 |
| Street Address |
510 E LISA DR |
| City | CHAPARRAL |
| State | NM |
| Zip Code | 88081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508838004 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2006-02-07 |
| 1205470192 | Carleen Covington | Dental Hygienist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-11-04 |
| 1801448964 | Tanya Sue Maestas | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-07-09 |
| 1063953859 | Bertha Martinez | Nurse Practitioner | 510 E Lisa Dr, Chaparral, NM 88081 | 2017-03-14 |
| 1144768417 | Leasette Marie Hernandez | Social Worker | 510 E Lisa Dr, Chaparral, NM 88081 | 2017-02-07 |
| 1801240452 | Monica Hernandez | Social Worker | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2016-04-20 |
| 1528476488 | Kapil Mangla | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2014-07-23 |
| 1629333091 | Bharani Kumar Bhattu | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2012-07-11 |
| 1811274863 | Jennifer Nkemamaka Nwaogu | Nurse Practitioner | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2011-11-04 |
| 1871889337 | La Clinica De Familia, Inc. | Clinic/Center | 510 E Lisa Dr, Bldg. 3, Chaparral, NM 88081-7809 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017832 | Apothecary Pharmacy PC | Pharmacy | 550 E. Lisa Ste C, Chaparral, NM 88081 | 2017-04-16 |
| 1134577430 | Carole Decastro | Registered Nurse | 800 County Line Rd., Chaparral, NM 88081 | 2016-05-26 |
| 1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
| 1174845143 | Presbyterian Medical Services | Clinic/Center | 204 Angelina Blvd., Chaparral, NM 88081 | 2010-02-18 |
| 1407094980 | The Community Foundation of Southern New Mexico | Clinic/Center | 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 | 2009-01-22 |
| 1922210764 | Homer Avalos Avalos | Counselor | 336 Geronimo, Chapparal, NM 88081 | 2007-05-04 |
| 1962862938 | La Clinica De Familia, Inc. | Clinic/Center | 800 S County Line Dr, Chaparral, NM 88081 | 2016-03-03 |
| 1720281355 | Lessons From Horses, Inc. | Counselor | 2765 Green Tree Loop, Chaparral, NM 88081-7380 | 2007-06-10 |
| 1750693198 | Belem Selene Calzadillas-perez | Case Manager/Care Coordinator | 696 Sunny Sands Dr, Chaparral, NM 88081-7422 | 2010-07-13 |
| 1093017287 | Natalie Aurelia Sutton | Specialist | 647 Tumbleweed Rd, Chaparral, NM 88081-7428 | 2010-11-22 |
| Find all providers in zip 88081 | ||||
| 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 |
|---|---|---|---|---|
| 1336796473 | Salud Dental Group Chaparral | Dentist | 320 Mccombs Rd Ste E, Chaparral, NM 88081-7937 | 2019-08-22 |
| 1801448964 | Tanya Sue Maestas | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-07-09 |
| 1629333091 | Bharani Kumar Bhattu | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2012-07-11 |
| 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 |
| 1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
| 1861024861 | Brian K Dennis Dds PC | Dentist | 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 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 |
| 1639725732 | John Jerome Fagel | Dentist | 07 Choos Gai Dr, Tohatchi, NM 87325 | 2019-08-14 |
| 1134686298 | Brandon James Clayton | Dentist | 2003 Southern Blvd Se # 133-134, Albuquerque, NM 87124-3751 | 2019-02-25 |
| 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.