Active NPI
Dental Design Studio LLC Dba Ivory Dental
- Dental Clinic/Center
- Albuquerque, NM
National Provider Identifier
1205526530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DENTAL DESIGN STUDIO LLC DBA IVORY DENTAL
- Practice address
- 5920 Whiteman Dr NW
Albuquerque, NM 87120-2198 - Phone
- (505) 897-6889
- Fax
- (505) 922-1319
- NPI assigned
- May 10, 2023
- Last updated
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meah Washington
- Title
- Office Manager
- Phone
- (505) 897-6889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5920 Whiteman Dr NW
Albuquerque, NM 87120-2198
Mailing address
5920 Whiteman Dr NW
Albuquerque, NM 87120-2198
Phone (505) 897-6889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD3583 | Other | NM | STATE DENTAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Albuquerque, NM
- NPI 1700191533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1205526530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 WHITEMAN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871202198",
"telephone_number": "505-897-6889",
"fax_number": "505-922-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 WHITEMAN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871202198",
"telephone_number": "505-897-6889",
"fax_number": "505-922-1319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL DESIGN STUDIO LLC DBA IVORY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "MEAH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "505-897-6889"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "DD3583",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Julia Pearl Dennisson
- David B Denoyer, R.PH.
- Joyce Denoyer, RN
- Leslie Elyse Denson, MD
- Dental Care in Your Home, Inc.
- Dental House Golf Course, LLC (Dental House)
- Dental House Trade Winds, LLC (Dental House)
- Dental Office
- Dental Partner's of Rio Rancho, LLC (Comfort Dental of Rio Rancho, LLC)
- Dental Partners of Alameda LLC (Comfort Dental of Alameda)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.