NPIMap

Organization Active NPI

Affordable Dentures - Albuquerque, P.C.

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1164729547
Registry record updated Feb 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES - ALBUQUERQUE, P.C.
Practice address
5555 Montgomery Blvd NE
Suite 17
Albuquerque, NM 87109-1460
Phone
(505) 881-4032
NPI assigned
Feb 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2011

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

Authorized official

Name
Gary Herron II, DDS
Title
Owner
Phone
(505) 881-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5555 Montgomery Blvd NE
Suite 17
Albuquerque, NM 87109-1460

Mailing address

5555 Montgomery Blvd NE
Suite 17
Albuquerque, NM 87109-1460
Phone (505) 881-4032

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures - Albuquerque PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1164729547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 MONTGOMERY BLVD NE",
            "address_2": "SUITE 17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091460",
            "telephone_number": "505-881-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 MONTGOMERY BLVD NE",
            "address_2": "SUITE 17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091460",
            "telephone_number": "505-881-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - ALBUQUERQUE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-19",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-881-4032",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Feb 19, 2011; 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.