WESTSIDE ENDODONTICS NPI 1013151307

Dentist (Endodontics) in Rio Rancho, NM

NPI 1013151307 Organization Dentist Endodontics

About WESTSIDE ENDODONTICS

Westside Endodontics is a provider established in Rio Rancho, New Mexico specializing in dentist (endodontics) . The NPI number of Westside Endodontics is 1013151307 and was assigned on April 2009. The practitioner's primary taxonomy code is 1223E0200X with license number DD2741 (NM). The provider is registered as an organization and their NPI record was last updated 12 years ago. Westside Endodontics operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John Harmon Dds (Owner)

A dentist like Westside Endodontics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1013151307

Provider NameWESTSIDE ENDODONTICS
Provider Location Address2320 GRANDE BLVD SE SUITE A RIO RANCHO, NM 87124
Provider Mailing Address2320 GRANDE BLVD SE SUITE A RIO RANCHO, NM 87124
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-30-2009
Last Update Date04-30-2009


Primary Taxonomy

Taxonomy Code1223E0200X
ClassificationDentist
TypeDental Providers
SpecializationEndodontics
License No.DD2741
License StateNM
Taxonomy DescriptionThe 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.

Business Address

WESTSIDE ENDODONTICS
2320 GRANDE BLVD SE
SUITE A
RIO RANCHO, NM
ZIP 87124
Phone: (505) 891-2100

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Mailing Address

WESTSIDE ENDODONTICS
2320 GRANDE BLVD SE
SUITE A
RIO RANCHO, NM
ZIP 87124
Phone: (505) 891-2100



Authorized Official

Authorized Official NameDR. JOHN HARMON DDS
Authorized Official TitleOWNER
Authorized Official Phone(505) 891-2100

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821218702DR. MELISSA ANN HARMON DDS
Individual
Dentist (Endodontics)2320 GRANDE BLVD SE SUITE A
RIO RANCHO, NM 87124
(505) 891-2100
1790239986NAMASTE FAMILY COUNSELING, LLC
Organization
Community/Behavioral Health2320 GRANDE BLVD SE STE. C
RIO RANCHO, NM 87124
(505) 994-4959
1285696724DR. JOHN HARMON DDS, MS
Individual
Dentist (Endodontics)2320 GRANDE BLVD SE SUITE A
RIO RANCHO, NM 87124
(505) 891-2100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.