DR. PAMELA M BACA


Address: 3031 Hot Springs Blvd, Las Vegas, NM 87701-4120
Phone: 5054256677

DR. PAMELA M BACA (NPI# 1891788246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891788246
Entity Type Individual
Full Name DR. PAMELA M BACA
Other Name DR. PAMELA M BACA
Credential DDS
Practice Address 3031 Hot Springs Blvd
Las Vegas
NM 87701-4120
Mailing Address 111 N Railroad Ave
P.o. Box 158
Espanola
NM 87532-2627
Practice Telephone 5054256677
Practice Fax Number 5054259638
Mailing Telephone 5057537218
Mailing Fax Number 5057535815
Enumeration Date 2005-08-31
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DD1719 NM Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM DORAL 9177330 01
NM 80044 05

Office Location

Street Address 3031 HOT SPRINGS BLVD
City LAS VEGAS
State NM
Zip Code 87701-4120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316930761 David A. Stoltze Family Medicine 3031 Hot Springs Blvd, Las Vegas, NM 87701-4120 2005-08-31
1548496524 Georgia Leroy Haynes Social Worker 3031 Hot Springs Blvd, Las Vegas, NM 87701-4288 2009-06-04
1245381219 Consejos-city of Las Vegas Counselor 3031 Hot Springs Blvd, Las Vegas, NM 87701 2007-01-16
1619960069 Frank V. Gallegos Jr. Family Medicine 3031 Hot Springs Blvd, Las Vegas, NM 87701-4120 2005-08-31
1093708455 Cher C. Lefebvre Dental Hygienist 3031 Hot Springs Blvd, Las Vegas, NM 87701-4120 2005-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851884423 Nueva Vida Counseling and Consulting Services LLC Community/Behavioral Health Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 2018-06-08
1316475403 El Centro Family Health Family Medicine 475 Legion Dr., Las Vegas, NM 87701 2017-06-01
1700327384 Anastacia Sena Jaramillo Psychologist 126 Silva Ave., Las Vegas, NM 87701 2017-03-15
1013369222 Home Medical Equipment Specialists,llc Durable Medical Equipment & Medical Supplies 514 8th Street, Las Vegas, NM 87701 2016-07-12
1750730826 John Michael Tourangeau Social Worker 1920 7th Street, Las Vegas, NM 87701 2016-06-08
1154705689 Lindsy Laura Kragt Allen Podiatrist 1608 7th St, Las Vegas, NM 87701 2015-07-14
1023409521 Ambercare Medical Supply Durable Medical Equipment & Medical Supplies 1747 N Grand Ave, Las Vegas, NM 87701 2015-02-05
1538561964 El Centro Family Health Clinic/Center 947 Old National Road, Las Vegas, NM 87701 2014-09-17
1164832150 Plaza Drugs Pharmacist 178 Bridge St, Las Vegas, NM 87701 2014-04-30
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851901755 Christian J. Otteson Dentist 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 2020-08-05
1811506082 Jorge Jimenez-marquez, Dmd, Pllc Dentist 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 2020-07-23
1235747643 Sean Patrick Fitzgibbons Dentist 6545 Ditmars St, Las Vegas, NV 89166-8026 2020-07-21
1467079806 Cristian Omar Sosa Dentist 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 2020-07-01
1538786421 Colette Laree Fuglaar Dentist 6974 Walden Park St, Las Vegas, NV 89166-8044 2020-06-26
1083233001 Flamingo Dental Partners LLC Dentist 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 2020-04-09
1356979603 Kim Dewayne Kemmerly Dentist 5905 W Charleston Blvd Apt 250, Las Vegas, NV 89146-1375 2020-03-31
1730714569 Gulati Highlands Dentistry, PC Dentist 4380 W. Cactus Ave, Suite 100, Las Vegas, NV 89141 2020-03-12
1598396236 Najand Dental, LLC Dentist 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 2020-01-31
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Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

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.

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