Active NPI
Diana Marie Baca, DDS
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1164480554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1687
- Practice address
- 5900 Cubero Dr NE
Ste C
Albuquerque, NM 87109-3882 - Phone
- (505) 822-8589
- Fax
- (505) 822-8353
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1687 | NM | Primary |
Addresses
Primary practice location
5900 Cubero Dr NE
Ste C
Albuquerque, NM 87109-3882
Mailing address
5900 Cubero Dr NE
Ste C
Albuquerque, NM 87109-3882
Phone (505) 822-8589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1687 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164480554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 CUBERO DR NE",
"address_2": "STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093882",
"telephone_number": "505-822-8589",
"fax_number": "505-822-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 CUBERO DR NE",
"address_2": "STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093882",
"telephone_number": "505-822-8589",
"fax_number": "505-822-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "DIANA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "1687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.