Organization Active NPI

Westside Oral Surgery, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1013169614
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DD2870 Issued in NM
Legal business name
WESTSIDE ORAL SURGERY, PC
Practice address
1628 Alameda Blvd NW
Albuquerque, NM 87114-8807
Phone
(505) 899-6979
Fax
(505) 899-6980
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Christopher J Larmour, D.M.D.
Title
Owner
Phone
(505) 899-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DD2870 NM Primary

Addresses

Primary practice location

1628 Alameda Blvd NW
Albuquerque, NM 87114-8807

Mailing address

1628 Alameda Blvd NW
Albuquerque, NM 87114-8807
Phone (505) 899-6979

National Provider Directory

National Provider Directory

Locations

1628 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 200-9399

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1013169614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 ALAMEDA BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148807",
            "telephone_number": "505-899-6979",
            "fax_number": "505-899-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 ALAMEDA BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148807",
            "telephone_number": "505-899-6979",
            "fax_number": "505-899-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ORAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "LARMOUR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-899-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD2870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 2008; 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.