HENDRICKS DENTAL GROUP, LLC (NPI# 1952810715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952810715 |
Entity Type | Organization |
Organization Name | HENDRICKS DENTAL GROUP, LLC |
Practice Address |
444 Saint Michaels Dr Ste B Santa Fe NM 87505-7674 |
Practice Telephone | (505) 989-8749 |
Mailing Telephone | 5059898749 |
Enumeration Date | 2017-09-25 |
Last Update Date | 2017-09-25 |
Authorized Official Name | VIRGINIA HENDRICKS (GENERAL MANAGER) |
Authorized Official Telephone | 5056036220 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
4731 | NM | Dental Providers |
Street Address |
444 SAINT MICHAELS DR STE B |
City | SANTA FE |
State | NM |
Zip Code | 87505-7674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689847576 | Dental Fitness, PC | Dental Hygienist | 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674 | 2008-04-11 |
1174779227 | Joyce Horn | Dental Hygienist | 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674 | 2008-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
Find all providers in zip 87505 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659574176 | Marion Lawrence Larragoite | Dentist | 2904 Rodeo Park Dr E, Suite 400-b, Santa Fe, NM 87505-6305 | 2007-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144475518 | David A. Irvin | Dentist | 6830 Montgomery Blvd. Ne, Suite C, Albuquerque, NM 87109-1455 | 2008-11-26 |
1588672752 | Ann L Ortega | Dentist | 1594 Sara Rd Se, Rio Rancho, NM 87124-1862 | 2006-08-04 |
1063478618 | Mitchell R. Wilkinson | Dentist | Po Box 187, Dulce, NM 87528-0187 | 2006-04-24 |
1841288669 | August Joseph Kaleta | Dentist | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-06 |
1366447898 | Marc Bernard Appelbaum | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2005-06-21 |
1730512245 | Diana N Ulrickson | Dentist | 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 | 2013-08-20 |
1194013805 | Darren Carl Norby | Dentist | 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 | 2011-07-14 |
1528392115 | Madelyn Lucille Fletcher-stark | Dentist | 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 87114-4549 | 2009-09-29 |
1982778387 | Phillip Allen Cook | Dentist | 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 | 2006-11-17 |
1336250521 | David Ray Jimenez | Dentist | 9204 Menaul Blvd Ne, 3, Albuquerque, NM 87112-2256 | 2006-08-31 |
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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.