DR. STEPHEN PAUL BRODERSON (NPI# 1821062746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821062746 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN PAUL BRODERSON |
| Credential | D.D.S. |
| Practice Address |
7 Avenida Vista Grande No.108 Santa Fe NM 87508-9198 |
| Practice Telephone | 5057573456 |
| Practice Fax Number | 5057573456 |
| Mailing Telephone | 5057573456 |
| Mailing Fax Number | 5057573456 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2318 | NM | Dental Providers |
| Street Address |
7 AVENIDA VISTA GRANDE NO.108 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87508-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114176351 | Steven Degennaro | Massage Therapist | 7 Avenida Vista Grande, Suite 200, Santa Fe, NM 87508-9198 | 2008-09-11 |
| 1912009259 | Zenun Inc | Pharmacy | 7 Avenida Vista Grande, Suite B8, Santa Fe, NM 87508-9198 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516683 | Margarita Ibarra | Registered Nurse | 54th Church Hill Rd, Santa Fe, NM 87508 | 2020-07-28 |
| 1164854097 | Eldorado Audiology and Hearing Center | Audiologist-Hearing Aid Fitter | 5 Caliente Road, #5a, Santa Fe, NM 87508 | 2013-08-02 |
| 1538500194 | Leslie Rachelle Hughes | Acupuncturist | 10 View Haven, Santa Fe, NM 87508 | 2013-07-11 |
| 1669712923 | Michael Allan Budnik | Social Worker | 8 El Cerro Trail, Santa Fe, NM 87508 | 2013-02-25 |
| 1093986226 | Hand and Upper Extremity | Occupational Therapist | 34 Aster Rd, Santa Fe, NM 87508 | 2008-03-15 |
| 1801955190 | Robert Wesley Mckinnie | Psychologist | 3 Encantado Loop, Santa Fe, NM 87508 | 2006-12-06 |
| 1124108949 | John David Becker | Family Medicine | 7 Avenida Vista Grande Ste D-6, Santa Fe, NM 87508 | 2006-10-16 |
| 1316982440 | Lauren Rose | Physical Therapist | 9 Frasco Way, Santa Fe, NM 87508 | 2006-06-20 |
| 1255387734 | Silverstone Healthcare of Santa Fe II, LLC | Alzheimer Center (Dementia Center) | 1650 Galisteo St, Santa Fe, NM 87508 | 2006-05-26 |
| 1285634071 | Elizabeth Wallen | Anesthesiology | 20 Calle Cal, Santa Fe, NM 87508 | 2005-07-22 |
| Find all providers in zip 87508 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802604 | Manpreet Kaur Randhawa | Dentist | 4111 Fm 1764 Rd Ste E, Santa Fe, TX 77517-3854 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 1912492406 | Aurora Dental Nm LLC | Dentist | 3875 Cerrillos Rd, Santa Fe, NM 87507-4145 | 2018-06-27 |
| 1861910283 | Alliance Oral Health Care, P.C. | Dentist | 130 Siringo Rd Ste 201, Santa Fe, NM 87505-5864 | 2017-09-06 |
| 1104278837 | Varun Yadav | Dentist | 1406 Luisa St Ste 1, Santa Fe, NM 87505-4161 | 2016-07-06 |
| 1982062048 | Santa Fe Dentist Office, LLC | Dentist | 5131 Main Street, 101, Santa Fe, NM 87507 | 2016-02-04 |
| 1730424904 | Elizabeth M. Wilson Dmd LLC | Dentist | 217 E Marcy St, Santa Fe, NM 87501-2020 | 2012-11-29 |
| 1689950008 | Santa Fe Modern Dentistry and Orthodontics, LLC | Dentist | 3569 Zafarano Boulevard, Santa Fe, NM 87507 | 2011-10-31 |
| 1437440286 | Katarzyna Ujda | Dentist | 2019 Galisteo St Ste L2, Santa Fe, NM 87505-2112 | 2011-04-27 |
| 1962718213 | Laura Comeau Dds PC | Dentist | 2100 Calle De La Vuelta Unit E105, Santa Fe, NM 87505-4819 | 2010-08-25 |
| Find all providers in SANTA FE | ||||
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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.