Parkway Dental NM LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARKWAY DENTAL NM LLC

Practice address

10409 Montgomery Pkwy NE Ste 201
Albuquerque, NM 87111-3862

Phone

(505) 298-7479

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Tera Niedens

Title

Accountant

Phone

(623) 289-2616

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariah Duran, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1740104074
  NPD (past)
• Michael David Haight, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1710019047
  NPD (past)
• Jesse Varoz, DDS

  • Dentist
  • Albuquerque, NM
  • NPI 1396127619
  NPD (past)
• Garry U Wolf, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1932247863
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1053184440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 N BLACK CANYON HWY # 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 MONTGOMERY PKWY NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113862",
            "telephone_number": "505-298-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "NIEDENS",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "623-289-2616"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Albuquerque",
            "affiliation": "N",
            "address_1": "10409 Montgomery Pkwy NE Ste 201",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871113862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren K Parks, PH.D.
• Rheanne Parks
• Robert Parks, DPM
• Stacy Parks, PT
• Stephanie M Parks, DPM
• Parkwest Transportation Services
• Trinity Parmalee, SLP-CCC
• Ann Parmenter
• Meagan C Parmley, PH.D.
• Joseph Ali Parmoon, CPED

• 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 Nov 6, 2023; 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.