NPIMap

Organization Active NPI

Dental House Golf Course, LLC

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1063989622
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL HOUSE GOLF COURSE, LLC
Practice address
8521 Golf Course Rd NW Ste 116
Albuquerque, NM 87114-4549
Phone
(505) 897-6453
Fax
(505) 897-8027
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Douglas Lee
Title
Operations Manager
Phone
(505) 615-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8521 Golf Course Rd NW Ste 116
Albuquerque, NM 87114-4549

Mailing address

8521 Golf Course Rd NW Ste 116
Albuquerque, NM 87114-4549
Phone (505) 897-6453

Other names 1

  • Dental House Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1063989622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 GOLF COURSE RD NW STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144549",
            "telephone_number": "505-897-6453",
            "fax_number": "505-897-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 GOLF COURSE RD NW STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144549",
            "telephone_number": "505-897-6453",
            "fax_number": "505-897-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HOUSE GOLF COURSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "505-615-4332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental House",
            "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 Jun 11, 2019; 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.