Individual provider Active NPI

Erin O'Neal

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1003310053
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD5351 Issued in NM
Practice address
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone
(505) 873-7400
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7039 LA
General Practice Dentistry 1223G0001X DD5351 NM Primary

Addresses

Primary practice location

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592

Mailing address

PO Box 27561 Dept#31117
Albuquerque, NM 87125-7561
Phone (505) 873-7423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210316001472 NM Practitioner - Dentist 4183972219 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7039LAMDGeneral Practice Dentistry
DD5351NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Current Accepting new patients
Unm Medical Group Inc CurrentSince Apr 1, 2021 Accepting new patients
Unm Medical Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince May 26, 2024 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince May 26, 2024 Accepting new patients

Locations

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1003310053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27561 DEPT#31117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871257561",
            "telephone_number": "505-873-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592",
            "telephone_number": "505-873-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7039",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.