CHILDREN'S DENTAL AT SONOMA (NPI# 1972936235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972936235 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL AT SONOMA |
| Practice Address |
3340 Rinconada Blvd Suite 2b Las Cruces NM 88011 |
| Practice Telephone | 5753822105 |
| Mailing Telephone | 5753822105 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | CORY THOMPSON (OWNER) |
| Authorized Official Telephone | 5753822105 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD3462 | NM | Dental Providers |
| Street Address |
3340 RINCONADA BLVD SUITE 2B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| 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 | 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 |
|---|---|---|---|---|
| 1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
| 1114418704 | Narek Akopyan | Dentist | 3340 Rinconada Blvd Ste 2, Las Cruces, NM 88011-7194 | 2018-05-20 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1508397555 | Debbie L Ashida, Dds PC | Dentist | 1001 E Boutz Rd, Las Cruces, NM 88001-4207 | 2017-03-22 |
| 1841602455 | Howard M. Achen, Dds | Dentist | 225 E Idaho Ave Ste 14, Las Cruces, NM 88005-3241 | 2014-05-30 |
| 1144513508 | Familia Dental Las Cruces LLC | Dentist | 1025 El Paseo Rd, Las Cruces, NM 88001-6029 | 2011-05-18 |
| 1841517505 | Falon Dean Waisath | Dentist | 530 N Telshor Blvd Ste A, Las Cruces, NM 88011-8243 | 2010-04-21 |
| 1750531091 | Ortiz Family Dental, LLC | Dentist | 2141 Hammerand Ct Ste B, Las Cruces, NM 88011-8250 | 2008-09-23 |
| 1366690216 | Affordable Dental LLC | Dentist | 1423 Don Roser Dr., Las Cruces, NM 88011-4515 | 2008-09-04 |
| 1801044938 | Affordable Dental | Dentist | 301 E. Lohman, Las Cruces, NM 88001 | 2008-09-03 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on CHILDREN'S DENTAL AT SONOMA.
| 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.