NM Dental Implants LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NM DENTAL IMPLANTS LLC

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

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Rogers, DDS

Title

Managing Member

Phone

(505) 350-3786

Specialties & licenses 1

Addresses

Other names 1

• ABQ Dental Implant Center Doing business as

Locations

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"
        }
    ]
}

• Charlotte N Nkwenti, CNP
• NM 01 Palliative Care Services PLLC
• NM Center for Cosmetic and Family Dentistry
• NM Children, Youth & Families Department - Juvenile Justice Services
• NM Compounding and Infusion Pharmacy, LLC
• NM Dental Sleep Therapy LLC
• NM Department of Health
• NM Family Education Center
• NM Heart Emergency Physicians LLC
• NM Home Care Group LLC

• All providers in Albuquerque, NM
• Dentist in New Mexico

• 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.