Padilla Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2616 Issued in NM

Legal business name

PADILLA DENTAL LLC

Practice address

3809 Eubank Blvd. NE
Albuquerque, NM 87111

Phone

(505) 292-2323

Fax

(855) 287-5696

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Padilla, D.D.S.NPI 1003257379

Title

Co-Managing Partner

Phone

(505) 292-2323

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ashley Padilla, D.D.S.

  • Dentist
  • Albuquerque, NM
  • NPI 1003257379
  NPD (past) Authorized official
• Michael J Dunn, DDS

  • Student in an Organized Health Care Education/Training Program
  • Albuquerque, NM
  • NPI 1710409438
  NPD
• Allen Dean, DDS

  • Dentist
  • Albuquerque, NM
  • NPI 1972584803
  NPD (past)
• Christopher G Padilla, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1790901247
  NPD (past)

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1215367941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 EUBANK BLVD. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-292-2323",
            "fax_number": "855-287-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 EUBANK BLVD. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-292-2323",
            "fax_number": "855-287-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADILLA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO-MANAGING PARTNER",
        "authorized_official_telephone_number": "505-292-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Douglas Pack, M.D.
• Lou Packer, LSAA
• Angela K Packingham, FNP-C
• Patricia A Pade, MD
• Audrey Lynn Padilla Cooper
• Veronica Joann Padilla-Daley, LPCC
• Luis Alfonso Padilla-Paz, M.D.
• Adamaris Padilla
• Adriana Yanni Padilla
• Alexandra Padilla, LCSW

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.