NPIMap

Organization Active NPI

Perfect Teeth - Alice P.C.

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1104946227
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1398 Issued in NM
Legal business name
PERFECT TEETH - ALICE P.C.
Doing business as
Perfect Teeth - Alice P.C.
Practice address
5800 Lomas Blvd NE
Albuquerque, NM 87110-6539
Phone
(505) 268-6388
Fax
(505) 254-2461
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Lauren Hill
Title
Director, RCM
Phone
(972) 930-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1398 NM Primary

Addresses

Primary practice location

5800 Lomas Blvd NE
Albuquerque, NM 87110-6539

Mailing address

5800 Lomas Blvd NE
Albuquerque, NM 87110-6539
Phone (505) 268-6388

Other names 1

  • Perfect Teeth - Alice P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

5800 Lomas Blvd NE
Albuquerque, NM 87110
Phone (505) 268-6388

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1104946227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106539",
            "telephone_number": "505-268-6388",
            "fax_number": "505-254-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106539",
            "telephone_number": "505-268-6388",
            "fax_number": "505-254-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - ALICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Alice P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Teeth - Alice P.C.",
            "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 Oct 19, 2021; 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.