LAS CRUCES SMILES (NPI# 1558746099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558746099 |
| Entity Type | Organization |
| Organization Name | LAS CRUCES SMILES |
| Practice Address |
1160 Commerce Dr Ste B Las Cruces NM 88011-8209 |
| Practice Telephone | 5756403367 |
| Mailing Telephone | 5756403367 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | DR. KEITH CRAIG COOMBS (ORTHODONTIST/OWNER) |
| Authorized Official Telephone | 5756403367 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DD4079 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | INDIVIDUAL NPI NUMBER | 1023267796 | 01 |
| Street Address |
1160 COMMERCE DR STE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8209 |
| 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 | 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 |
|---|---|---|---|---|
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| 1194039743 | Enchantment Orthodontics, LLC | Dentist | 1901 Calle De Ninos Unit 3, Las Cruces, NM 88005-3293 | 2010-08-05 |
| 1376656637 | B Joe Aday | Dentist | 2701 Missouri Ave Ste D, Las Cruces, NM 88011-5091 | 2006-08-17 |
| 1730151713 | John G. Vondrak | Dentist | 920 N Telshor Blvd, Suite E, Las Cruces, NM 88011-8244 | 2006-02-03 |
| 1043578529 | Orthosmiles of Las Cruces Pllc | Dentist | 920 N Telshor Blvd, Suite E, Las Cruces, NM 88011-8277 | 2012-05-02 |
| 1386900991 | Sun Orthodontix of Las Cruces, Pllc | Dentist | 920 N Telshor Blvd, Suite E, Las Cruces, NM 88011-8277 | 2012-04-09 |
| 1093767212 | National Orthodontix Management, Pllc | Dentist | 920 N Telshor Blvd, Suite E, Las Cruces, NM 88011-8244 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063576 | Clovis Orthodontics, Pllc | Dentist | 901 E 21st St Ste A, Clovis, NM 88101-4492 | 2020-11-05 |
| 1053956466 | Cabezon Orthodontics | Dentist | 2401 Cabezon Blvd Se Ste 104, Rio Rancho, NM 87124-1513 | 2019-11-08 |
| 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 |
| 1811288699 | Clarice K. Pick, D.d.s., P.C. | Dentist | 125-a Siringo Road, Santa Fe, NM 87505-5709 | 2011-04-27 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.