Uptown Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2998 Issued in NM

Legal business name

UPTOWN DENTAL ASSOCIATES

Practice address

7101 Prospect PL NE
Albuquerque, NM 87110-4313

Phone

(505) 268-4484

NPI assigned

Mar 10, 2015

Organization subpart

Yes

Parent organization

UPTOWN DENTAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Pam Keys

Title

Office Manager

Phone

(505) 268-4484

Specialties & licenses 1

Addresses

Part of

Uptown Dental Associates

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1033502489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104313",
            "telephone_number": "505-268-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104313",
            "telephone_number": "505-268-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPTOWN DENTAL ASSOCIATES",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-268-4484"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan D Upham, M.D.
• Phillip M Uphold, D.C.
• Mari Upshaw, CNM
• Dona Jean Upson, MD
• Upstream ABA New Mexico LLC
• Uptown Dermatology LLC
• Uptown Eye Care LLC
• Uptown Park Dental Practice, LLC
• Upward Motion, LLC
• Jennifer A Urban, LPCC

• Dental Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.