NPIMap

Organization Active NPI

Sandia Oral Surgery and Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
National Provider Identifier
1265671770
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DD 3087 Issued in NM
Legal business name
SANDIA ORAL SURGERY AND DENTAL IMPLANT CENTER
Practice address
7009 Montgomery Blvd. NE
Albuquerque, NM 87109
Phone
(505) 291-9600
Fax
(505) 299-5280
NPI assigned
Feb 8, 2009
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mr. David Eric Tuggle, DDSNPI 1447324280
Title
Owner
Phone
(505) 291-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DD 3087 NM Primary

Addresses

Primary practice location

7009 Montgomery Blvd. NE
Albuquerque, NM 87109

Mailing address

7009 Montgomery Blvd. NE
Albuquerque, NM 87109
Phone (505) 291-9600

Other names 1

  • David Eric Tuggle DDS Other name

National Provider Directory

National Provider Directory

Locations

7009 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 291-9600

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": "1234051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1265671770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 MONTGOMERY BLVD. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-291-9600",
            "fax_number": "505-299-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 MONTGOMERY BLVD. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-291-9600",
            "fax_number": "505-299-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA ORAL SURGERY AND DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-08",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "TUGGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-291-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD 3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Eric Tuggle DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 2, 2016; 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.