Active NPI
Touro University
- General Practice Dentistry
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- TOURO UNIVERSITY
- Practice address
- 2425 Ridgecrest Dr SE
Albuquerque, NM 87108-5129 - Phone
- (505) 658-8236
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anastasia Lynn Novotny
- Title
- Billing Lead
- Phone
- (914) 374-5611
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Dental Anesthesiology | 1223D0004X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | |||
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Dental Hygienist | 124Q00000X |
Addresses
Primary practice location
2425 Ridgecrest Dr SE
Albuquerque, NM 87108-5129
Mailing address
2425 Ridgecrest Dr SE
Albuquerque, NM 87108-5129
Phone (505) 658-8236
Other names 1
- TOURO COLLEGE OF DENTAL MEDICINE NEW MEXICO CAMPUS LLC
National Provider Directory
National Provider Directory- Tax ID family
- Touro University
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Albuquerque, NM
- NPI 1568326809
Locations
2425 Ridgecrest Dr SE
Albuquerque, NM 87108
Phone (505) 348-9630
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Albuquerque, NM
- NPI 1568326809
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Albuquerque, NM
- NPI 1598824393
-
- Dentist
- Albuquerque, NM
- NPI 1023078672
-
- Oral and Maxillofacial Pathology Dentistry
- Albuquerque, NM
- NPI 1306391081
-
- Student in an Organized Health Care Education/Training Program
- Albuquerque, NM
- NPI 1881518546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1083411433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 RIDGECREST DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085129",
"telephone_number": "505-658-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 RIDGECREST DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085129",
"telephone_number": "505-658-8236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOURO UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "NOVOTNY",
"authorized_official_first_name": "ANASTASIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BILLING LEAD",
"authorized_official_telephone_number": "914-374-5611"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TOURO COLLEGE OF DENTAL MEDICINE NEW MEXICO CAMPUS LLC",
"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 Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.