NPIMap

Organization Active NPI

Eli Hanosh DDS PC

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1174769228
Registry record updated Dec 19, 2008
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD2923 Issued in NM
Legal business name
ELI HANOSH DDS PC
Practice address
6208 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1400
Phone
(505) 881-8488
Fax
(505) 889-4065
NPI assigned
Dec 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Eli Hanosh
Title
President
Phone
(505) 881-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DD2923 NM Primary

Addresses

Primary practice location

6208 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1400

Mailing address

6208 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1400

National Provider Directory

National Provider Directory

Locations

6208 Montgomery Blvd NE
Ste A
Albuquerque, NM 87109
Phone (505) 881-8488

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": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1174769228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400",
            "telephone_number": "505-881-8488",
            "fax_number": "505-889-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI HANOSH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "HANOSH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-881-8488"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2923",
            "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 Dec 19, 2008; 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.