HALTOM ORTHODONTICS (NPI# 1831506831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831506831 |
| Entity Type | Organization |
| Organization Name | HALTOM ORTHODONTICS |
| Practice Address |
10433 Lagrima De Oro Rd Ne Albuquerque NM 87111-3727 |
| Practice Telephone | 5052994458 |
| Practice Fax Number | 5052994450 |
| Mailing Telephone | 5052994458 |
| Mailing Fax Number | 5052994450 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | DR. DARREN MICHAEL HALTOM (ORTHODONTIST/OWNER) |
| Authorized Official Telephone | 5052994458 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DD2090 | NM | Dental Providers |
| Street Address |
10433 LAGRIMA DE ORO RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891858940 | Darren Haltom | Dentist | 10433 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2006-12-19 |
| 1407919541 | Felix Tucker Haltom | Dentist | 10433 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| 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 |
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| 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 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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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.