Organization Active NPI

Napa Dental Management LLC

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1003300393
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NAPA DENTAL MANAGEMENT LLC
Practice address
10820 Comanche Rd NE Ste D
Albuquerque, NM 87111-3983
Phone
(505) 323-7700
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kartik Antani, DMDNPI 1710398565
Title
Ceo
Phone
(848) 565-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

10820 Comanche Rd NE Ste D
Albuquerque, NM 87111-3983

Mailing address

10820 Comanche Rd NE Ste D
Albuquerque, NM 87111-3983
Phone (505) 323-7700

Other names 1

  • Napa Family Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230712002348 NM Part B Supplier - Clinic/Group Practice 3779943519 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20231110002301 NM DME Supplier - Oral Surgery - Dentist 3779943519 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687046400000",
    "number": "1003300393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "505-323-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "505-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPA DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "ANTANI",
        "authorized_official_first_name": "KARTIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "848-565-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Napa Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.