SOUTHWEST PERIODONTAL AND IMPLANTS (NPI# 1972118685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972118685 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST PERIODONTAL AND IMPLANTS |
| Practice Address |
3045 E University Ave Ste A Las Cruces NM 88011-9147 |
| Practice Telephone | 5755222477 |
| Practice Fax Number | 5755213556 |
| Mailing Telephone | 5755222477 |
| Mailing Fax Number | 5755213556 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | MRS. ANGELA C MERRITT (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 5755222477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
3045 E UNIVERSITY AVE STE A |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417122102 | James Bradley Aday | Dentist | 2701 Missouri Ave Ste E, Las Cruces, NM 88011-5091 | 2008-04-24 |
| 1568517787 | Ralph Edward Mcelmurry Jr. | Dentist | 2918 Hillrise Dr, Las Cruces, NM 88011-4702 | 2007-01-25 |
| 1942355177 | Ralph E. Mcelmurry, Dds, Ms, Pa | Dentist | 2918 Hillrise Dr, Las Cruces, NM 88011-4702 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455017 | Pino Periodontics, LLC | Dentist | 7007 Wyoming Blvd Ne Ste D1, Albuquerque, NM 87109-3981 | 2018-01-16 |
| 1407140361 | Kevin Charles Harrison | Dentist | 10151 Montgomery Blvd Ne Ste C, Albuquerque, NM 87111-3670 | 2011-06-07 |
| 1023332350 | Chun-xiao Sun | Dentist | 8501 Candelaria Rd Ne Ste D3, Albuquerque, NM 87112-1032 | 2010-03-15 |
| 1124287206 | Redemption | Dentist | 4550 Eubank N.e., Suite 207, Albuquerque, NM 87111-2565 | 2008-06-04 |
| 1871681700 | Albuquerque Implant & Periodontal Consultants. LLC | Dentist | 10425 Montgomery Pkwy Ne, Albuquerque, NM 87111-3864 | 2006-10-10 |
| 1306931035 | Henry D Espinosa | Dentist | 10409 Montgomery Pkwy Ne #203, Albuquerque, NM 87111 | 2006-10-04 |
| 1851308290 | Dianna R Montoya | Dentist | 1105 Golf Course Rd Se, Bld A, Rio Rancho, NM 87124-4733 | 2006-08-01 |
| 1356366975 | Mark A. Ferrari | Dentist | 10250 Cottonwood Park Nw Ste B, Albuquerque, NM 87114-7019 | 2006-07-13 |
| 1790029445 | Richard Verderame Dds Ms LLC | Dentist | 4111 Barbara Loop Se, E-2, Rio Rancho, NM 87124-1068 | 2012-11-19 |
| 1205189719 | Jennifer L. Clark | Dentist | 501 S Main Ave, Aztec, NM 87410-2247 | 2012-10-22 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on SOUTHWEST PERIODONTAL AND IMPLANTS.
| 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.