THIRTY-TWO PEARLS SMILE SPA (NPI# 1184968992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184968992 |
| Entity Type | Organization |
| Organization Name | THIRTY-TWO PEARLS SMILE SPA |
| Practice Address |
114 W Fox St Carlsbad NM 88220-6212 |
| Mailing Address |
Po Box 3087 Carlsbad NM 88221-3087 |
| Practice Telephone | 5752361001 |
| Mailing Telephone | 5752361001 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | MRS. JOANN JODY MCCAULEY (OWNER) |
| Authorized Official Telephone | 5752361001 |
| Authorized Official Credential | R.N. R.D.H |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DH1521 | NM | Ambulatory Health Care Facilities |
| Street Address |
114 W FOX ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063929503 | Jo Ann Mccauley | Dental Hygienist | 114 W Fox St, Carlsbad, NM 88220-6212 | 2018-01-05 |
| 1184138596 | Donna Roseann Mersman | Dental Hygienist | 114 W Fox St, Carlsbad, NM 88220-6212 | 2017-11-21 |
| 1750895231 | Elaine Lavonne Byers | Dental Hygienist | 114 W Fox St, Carlsbad, NM 88220-6212 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225523855 | Carlsbad Family Dentistry | Clinic/Center | 2010 Cassia Rd Ste 110, Carlsbad, CA 92009-4210 | 2018-06-26 |
| 1770965055 | Drew Addy Dds Inc. | Clinic/Center | 2879 Hope Ave, Carlsbad, CA 92008-1833 | 2015-06-23 |
| 1871995647 | Stephen A. Lawrence, Dds, Inc. | Clinic/Center | 785 Grand Ave, Suite 206, Carlsbad, CA 92008-2370 | 2014-09-23 |
| 1841628856 | Herbert S Woodward IIi Dds Inc | Clinic/Center | 325 Carlsbad Village Dr, Suite A-2, Carlsbad, CA 92008-2928 | 2013-10-30 |
| 1679801930 | Remodel Cosmetic Dentistry | Clinic/Center | 6221 Metropolitan St, Suite 102, Carlsbad, CA 92009-3096 | 2009-11-25 |
| 1083874424 | Maricelle R. Ortiz-luis, Dds, A Professional Corporation | Clinic/Center | 2515 Pio Pico Dr, Suite B, Carlsbad, CA 92008-1560 | 2008-06-10 |
| 1114132107 | Keon-jung Kim Professional Dental Corporation | Clinic/Center | 3257 Camino De Los Coches, #303, Carlsbad, CA 92009-8966 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358762 | Raton Family Dental LLC | Clinic/Center | 1100 S 2nd St Ste C, Raton, NM 87740-2326 | 2020-02-21 |
| 1700362589 | Morningstar Family Dental, LLC | Clinic/Center | 1005 Main St Sw, Los Lunas, NM 87031-8310 | 2018-07-16 |
| 1124512488 | Stacey Montano Dds LLC | Clinic/Center | 3901 Georgia St Ne Ste G1, Albuquerque, NM 87110-1388 | 2018-06-20 |
| 1003300393 | Napa Dental Management, LLC | Clinic/Center | 10820 Comanche Rd Ne Ste D, Albuquerque, NM 87111-3983 | 2018-06-19 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1780195024 | Devin Giron, Dds | Clinic/Center | 2 Calle Medico Ste 3, Santa Fe, NM 87505-4785 | 2017-10-13 |
| 1679017453 | Embudo Dental Center LLC | Clinic/Center | 1102 State Highway 68, Embudo, NM 87531-0037 | 2016-12-13 |
| 1871042457 | Dental House Trade Winds, LLC | Clinic/Center | 5400 Central Ave Se, Suite C-101, Albuquerque, NM 87108-1502 | 2016-09-24 |
| 1336505916 | Clovis Family Dentistry, LLC | Clinic/Center | 2000 W 21st St Ste L1, Clovis, NM 88101-1400 | 2016-01-12 |
| 1528437258 | Anywhere Dental Care | Clinic/Center | 28 Canada De Los Alamos Trl Se, Albuquerque, NM 87123-9504 | 2015-09-23 |
| Find all providers with the same taxonomy | ||||
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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.