PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC (NPI# 1154624401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154624401 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC |
| Practice Address |
2450 South Telshor Memorial Medical Hospital Las Cruces NM 88011-7594 |
| Mailing Address |
5475 Remington Road Dr. Peter Hayes Las Cruces NM 88011-7594 |
| Practice Telephone | 5756210800 |
| Practice Fax Number | 5753733091 |
| Mailing Telephone | 5756210800 |
| Mailing Fax Number | 5753733091 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Authorized Official Name | DR. PETER ANDREW HAYES (PEDIATRIC DENTAL SPECIALIST) |
| Authorized Official Telephone | 5756210800 |
| Authorized Official Credential | DMD, MS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 122300000X | Dentist | DD2233 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 92472214 | 05 |
| Street Address |
2450 SOUTH TELSHOR MEMORIAL MEDICAL HOSPITAL |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-7594 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012241 | Lc Sleep Solutions LLC | Dentist | 2001 E Lohman Ave Ste 122, Las Cruces, NM 88001-3195 | 2020-01-10 |
| 1629570023 | Desert Elite Family Dental Pllc | Dentist | 1300 El Paseo Rd Ste N, Las Cruces, NM 88001-6039 | 2018-03-02 |
| 1306230727 | Rohini Bansal | Dentist | 1160 El Paseo Rd, Las Cruces, NM 88001-6045 | 2015-03-24 |
| 1366851495 | Kye Grant Kinzer | Dentist | 5135 Acacia Rd, Las Cruces, NM 88011-7623 | 2014-08-02 |
| 1235550138 | Mesilla Valley Children's Dentistry | Dentist | 3835 E. Lohman Ave., Las Cruces, NM 88011 | 2013-12-18 |
| 1396174116 | University Family Dental PC | Dentist | 705 E University Ave Ste B, Las Cruces, NM 88001-5637 | 2013-11-02 |
| 1700131190 | Wael Borham | Dentist | 608 S Alameda Blvd, Las Cruces, NM 88005-2817 | 2012-07-21 |
| 1396033494 | Jared S. Wallis | Dentist | 2540 N Telshor Blvd Ste E, Las Cruces, NM 88011-8201 | 2011-07-11 |
| 1114216389 | Las Cruces Dental Solutions | Dentist | 2001 E Lohman Ave Ste 121, Las Cruces, NM 88001-3195 | 2011-03-28 |
| 1649460445 | Ramon M Ortiz | Dentist | 3045 E University Ave Ste B, Las Cruces, NM 88011-9147 | 2007-07-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on PEDIATRIC DENTAL SPECIALIST OF NEW MEXICO LLC.
| 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.