NPIMap

Organization Active NPI

NM Dental Implants LLC

Doing business as ABQ Dental Implant Center

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1003527458
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NM DENTAL IMPLANTS LLC
Doing business as
ABQ Dental Implant Center
Practice address
3520 Montgomery Blvd NE Ste B
Albuquerque, NM 87107-4846
Phone
(505) 705-8808
Fax
(505) 705-8905
NPI assigned
Dec 7, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Dr. Jacob Rogers, DDSNPI 1548551435
Title
Managing Member
Phone
(505) 350-3786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3520 Montgomery Blvd NE Ste B
Albuquerque, NM 87107-4846

Mailing address

3520 Montgomery Blvd NE Ste B
Albuquerque, NM 87107-4846
Phone (505) 705-8808

Other names 1

  • ABQ Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

3520 Montgomery Blvd NE
Ste B
Albuquerque, NM 87107
Phone (505) 705-8808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1003527458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 MONTGOMERY BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074846",
            "telephone_number": "505-705-8808",
            "fax_number": "505-705-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 MONTGOMERY BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074846",
            "telephone_number": "505-705-8808",
            "fax_number": "505-705-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-350-3786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABQ Dental Implant Center",
            "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 Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.