DR. MARCUS L PALERMO (NPI# 1285838391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285838391 |
| Entity Type | Individual |
| Full Name | DR. MARCUS L PALERMO |
| Credential | DDS |
| Practice Address |
2100 Calle De La Vuelta Suite C-102 Santa Fe NM 87505-4742 |
| Mailing Address |
2100 Calle De La Vuelta Suite C-102 Santa Fe NM 87505 |
| Practice Telephone | 5059883636 |
| Practice Fax Number | 5055017557 |
| Mailing Telephone | 5059883636 |
| Mailing Fax Number | 5055017557 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DD3195 | NM | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
D7327 | AZ | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS037026 | PA | Dental Providers |
| Street Address |
2100 CALLE DE LA VUELTA SUITE C-102 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134192339 | Sanford David Schulhofer | Podiatrist | 2100 Calle De La Vuelta, C103, Santa Fe, NM 87505-4742 | 2006-02-08 |
| 1134423726 | Ryan W. Rogers, M.d., P.C. | Ophthalmology | 2100 Calle De La Vuelta, Santa Fe, NM 87505-4742 | 2010-12-22 |
| 1548573082 | Bio-medical Applications of New Mexico Inc | Clinic/Center | 2100 Calle De La Vuelta, Santa Fe, NM 87505-4742 | 2010-07-26 |
| 1366672347 | Freedom To Be, LLC | Health Maintenance Organization | 2100 Calle De La Vuelta, Bldg. D; Unit 206, Santa Fe, NM 87505-4742 | 2009-07-23 |
| 1912038449 | Philip Christopher Forno | Orthopaedic Surgery | 2100 Calle De La Vuelta, Sutie C103, Santa Fe, NM 87505-4742 | 2007-03-08 |
| 1477684843 | William Andrew Schackel | Dentist | 2100 Calle De La Vuelta, B-102, Santa Fe, NM 87501-1933 | 2007-03-08 |
| 1376605642 | Ralph C. Williams Jr. | Internal Medicine | 2100 Calle De La Vuelta, Suite C, Santa Fe, NM 87505 | 2006-12-14 |
| 1992728737 | Steven Weiner | Orthopaedic Surgery | 2100 Calle De La Vuelta, C-103, Santa Fe, NM 87505-4742 | 2006-07-25 |
| 1871512152 | Brant Allen Bair | Orthopaedic Surgery | 2100 Calle De La Vuelta, Suite C103, Santa Fe, NM 87505-4742 | 2006-07-18 |
| 1902863640 | Jerald Joseph Littlefield | Ophthalmology | 2100 Calle De La Vuelta, E-104, Santa Fe, NM 87505-4819 | 2006-04-27 |
| Find all providers in the same location | ||||
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841598588 | Bernard R. Gavron D.d.s., P.C. | Dentist | 465 St. Michaels Dr., Ste 208, Santa Fe, NM 87505 | 2011-03-04 |
| 1942263272 | Kenneth H Kahn | Dentist | 1692 Hospital Dr, Suite 201b, Santa Fe, NM 87505-4754 | 2006-04-08 |
| 1386606101 | Erick F Carlgren | Dentist | 2 Calle Medico, Suite 3, Santa Fe, NM 87505-4785 | 2006-04-05 |
| 1023130085 | James Franklin Wolcott Iv | Dentist | 539 Harkle Rd, Suite C, Santa Fe, NM 87505-4782 | 2007-04-03 |
| 1053445577 | Philip B. Edgerton | Dentist | 5 Calle Medico, Suite-a, Santa Fe, NM 87505-4762 | 2007-03-15 |
| 1003897182 | Bernard Ray Gavron | Dentist | 465 Saint Michaels Dr, Ste 208, Santa Fe, NM 87505-7670 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024840 | Robert Hochberg, Dds, LLC | Dentist | 7520 Montgomery Blvd Ne Ste B, Building C, Albuquerque, NM 87109-1521 | 2019-07-09 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1265835177 | Gilbreth Group LLC | Dentist | 4111 Barbara Loop Se Ste B, Rio Rancho, NM 87124-1068 | 2014-10-06 |
| 1003220203 | Shane Thomas Clark | Dentist | 2800 Coors Blvd Nw, Albuquerque, NM 87120-1204 | 2014-06-16 |
| 1497033310 | Las Cruces Dental Associates PC | Dentist | 1022 9th St, Alamogordo, NM 88310-6470 | 2011-07-26 |
| 1780811984 | Ryan Hastiin Wilson | Dentist | 6810 Menaul Blvd Ne Ste B, Albuquerque, NM 87110 | 2009-06-15 |
| 1356508931 | David Lloyd Hadley | Dentist | 10409 Montgomery Pkwy Ne Ste 100, Albuquerque, NM 87111-3862 | 2008-05-21 |
| 1760671705 | New Mexico Endodontic Specialists, PC | Dentist | 10151 Montgomery Blvd Ne Ste 2b, Albuquerque, NM 87111-3664 | 2007-10-16 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| 1134334907 | Colin Simeon Shaw | Dentist | 4620 Jefferson Ln Ne Ste C, Albuquerque, NM 87109-2120 | 2007-05-14 |
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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.