CABEZON ORTHODONTICS (NPI# 1053956466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053956466 |
| Entity Type | Organization |
| Organization Name | CABEZON ORTHODONTICS |
| Practice Address |
2401 Cabezon Blvd Se Ste 104 Rio Rancho NM 87124-1513 |
| Mailing Address |
9211 Eagle Ranch Rd Nw Albuquerque NM 87114-6440 |
| Practice Telephone | 5058915145 |
| Mailing Telephone | 5058503769 |
| Mailing Fax Number | 5058902949 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | EBONIE GONZALES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5058503769 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
2401 CABEZON BLVD SE STE 104 |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| 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 |
|---|---|---|---|---|
| 1780817692 | Chartier Orthodontics | Dentist | 4320 Ridgecrest Dr Se, Suite E, Rio Rancho, NM 87124-5971 | 2009-08-26 |
| 1740470574 | Diane Hughes | Dentist | 2401-d Cabezon Boulevard, Rio Rancho, NM 87124 | 2007-07-27 |
| 1770669368 | Gregory J Jorgensen | Dentist | 1401 Barbara Loop Se, Rio Rancho, NM 87124-1056 | 2006-10-27 |
| 1902460033 | Greg Jorgensen, Dmd, Ms PC | Dentist | 1401 Barbara Loop Se, Rio Rancho, NM 87124-1056 | 2019-04-24 |
| 1124363379 | Daniel Bruce Rudd | Dentist | 4320 Ridgecrest Dr Se Ste E, Rio Rancho, NM 87124-5971 | 2012-11-28 |
| 1467787747 | Randy G. Alkire,dds,ms,pc | Dentist | 1316 Jackie Rd Se, Suite #300, Rio Rancho, NM 87124-6618 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063576 | Clovis Orthodontics, Pllc | Dentist | 901 E 21st St Ste A, Clovis, NM 88101-4492 | 2020-11-05 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| 1558746099 | Las Cruces Smiles | Dentist | 1160 Commerce Dr Ste B, Las Cruces, NM 88011-8209 | 2015-07-27 |
| 1215339270 | Thomas Dunn | Dentist | 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 | 2014-09-22 |
| 1871902593 | Sundance Orthodontics LLC | Dentist | 3903 Beckland Dr, Farmington, NM 87402-4701 | 2014-08-06 |
| 1750622072 | Orthodental PC | Dentist | 1748 W Maloney Ave, Gallup, NM 87301-3333 | 2013-03-12 |
| 1538416854 | Darmitzel Orthodontics, LLC | Dentist | 400 Kiva Ct Ste A, Santa Fe, NM 87505-5878 | 2012-08-06 |
| 1467722116 | Morris Orthodontics Pllc | Dentist | 1213c Us Highway 491, Gallup, NM 87301-4820 | 2012-01-11 |
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| 1932485380 | Dr. Stephen A. Kellam, LLC | Dentist | 539 Harkle Rd Ste D, Santa Fe, NM 87505-4783 | 2011-10-31 |
| Find all providers with the same taxonomy | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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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.