Murtaja Abdulelah Kamal-Aldeen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4175 Issued in NM

Practice address

100 Deputy Dean Miera Dr SW
Albuquerque, NM 87151-4884

Phone

(505) 839-8700

NPI assigned

Aug 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1114335213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93985",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871993985",
            "telephone_number": "505-839-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEPUTY DEAN MIERA DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871514884",
            "telephone_number": "505-839-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAL-ALDEEN",
        "first_name": "MURTAJA",
        "middle_name": "ABDULELAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Kalunian, ACNP
• Kimberly Lynn Kalupa, PH.D.
• Kalyani Orthopaedics LLC
• Bharati Sukadeo Kalyani, M.D.
• Elizabeth Y Kam, SLP
• Fereidoun Kamali, LMHC
• Jessica Kamali, RN
• Kamar Therapy
• Nicole Holly Kamauoha, LMSW
• Robert M. Kamb, PTA

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.