Organization Active NPI

Family Dental Centers PA

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1164853032
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1516 Issued in NM
Legal business name
FAMILY DENTAL CENTERS PA
Doing business as
Family Dental Centers PA
Practice address
4801 Montano Rd NW
A3
Albuquerque, NM 87120-2428
Phone
(505) 898-4504
Fax
(505) 899-0525
NPI assigned
Dec 3, 2013
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Steven P Anderson, DDS
Title
Owner
Phone
(505) 898-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1516 NM Primary

Addresses

Primary practice location

4801 Montano Rd NW
A3
Albuquerque, NM 87120-2428

Mailing address

4801 Montano Rd NW
A3
Albuquerque, NM 87120-2428
Phone (505) 898-4504

Other names 1

  • Family Dental Centers PA Doing business as

National Provider Directory

National Provider Directory

Locations

4801 Montano Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 898-4504

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1164853032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 MONTANO RD NW",
            "address_2": "A3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202428",
            "telephone_number": "505-898-4504",
            "fax_number": "505-899-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MONTANO RD NW",
            "address_2": "A3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202428",
            "telephone_number": "505-898-4504",
            "fax_number": "505-899-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-898-4504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Centers PA",
            "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 3, 2013; 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.