ANIMAS PEDIATRIC DENTAL GROUP (NPI# 1295823177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295823177 |
| Entity Type | Organization |
| Organization Name | ANIMAS PEDIATRIC DENTAL GROUP |
| Practice Address |
2650 E Pinon Frontage Rd. Bldg. 200 Farmington NM 87402-5061 |
| Practice Telephone | 5055999359 |
| Practice Fax Number | 5055998177 |
| Mailing Telephone | 5055999359 |
| Mailing Fax Number | 5055998177 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | LAWRENCE SUAZO (OWNER) |
| Authorized Official Telephone | 5055999359 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DD1997 | NM | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D1997 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00076517 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Animas Pediatric Dental Group, P.C. | 2650 E Pinon Frontage Road, Bldg 200, Farmington, NM 87402 |
| Street Address |
2650 E PINON FRONTAGE RD. BLDG. 200 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104277482 | Ncdi - Animas Professional, LLP | Dentist | 2650 E Pinon Frontage Rd, Bldg #200, Farmington, NM 87402-5084 | 2016-06-28 |
| 1750736377 | Mountain View Pediatric Dentistry of Farmington | Dentist | 991 Shepard Lane, Ste 100, Farmington, UT 84025-2702 | 2016-05-02 |
| 1477515104 | Kenneth R Dunston | Dentist | 2050 N Butler Ave, Farmington, NM 87401-4201 | 2006-04-06 |
| 1760443998 | Lawrence Eric Suazo | Dentist | 2650 E. Pinon Frontage Rd. Bldg. 200, Farmington, NM 87402-5061 | 2006-03-29 |
| 1841250529 | Doug Earl Holmes | Dentist | 2650 E. Pinon Frontage Rd., Bldg #200, Farmington, NM 87402-5061 | 2006-03-25 |
| 1407822000 | John R Anderson | Dentist | 1401 N Highway 89, #200, Farmington, UT 84025-2745 | 2006-02-24 |
| 1659756161 | Rawan Sarsour | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2015-07-26 |
| 1013395359 | Bahar Houshmand | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2015-05-06 |
| 1518350479 | Katherine Fleming | Dentist | 263 Farmington Ave, Farmington, CT 06032-1956 | 2015-03-16 |
| 1760762264 | Monica Sandra Wolff | Dentist | 263 Farmington Ave, Farmington, CT 06030-1610 | 2011-08-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
Please comment or provide details below to improve the information on ANIMAS PEDIATRIC DENTAL GROUP.
| 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.