Organization Active NPI

Oliver L Marianetti, D.M.D.

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1295961571
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1467 Issued in NM
Legal business name
OLIVER L MARIANETTI, D.M.D.
Practice address
3900 Eubank Blvd NE
Suite N-17
Albuquerque, NM 87111-3465
Phone
(505) 293-6705
Fax
(505) 293-6852
NPI assigned
Jun 1, 2009
Organization subpart
Yes
Parent organization
OLIVER L. MARIANETTI, D.M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Oliver L Marianetti, D.M.D.
Title
Dr./Business Owner
Phone
(505) 293-6705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1467 NM Primary

Addresses

Primary practice location

3900 Eubank Blvd NE
Suite N-17
Albuquerque, NM 87111-3465

Mailing address

3900 Eubank Blvd NE
Suite N-17
Albuquerque, NM 87111-3465
Phone (505) 293-6705

National Provider Directory

National Provider Directory
Part of
Oliver L Marianetti DMD

Locations

3900 Eubank Blvd NE
Ste N17
Albuquerque, NM 87111
Phone (505) 293-6705

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1295961571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE",
            "address_2": "SUITE N-17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113465",
            "telephone_number": "505-293-6705",
            "fax_number": "505-293-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE",
            "address_2": "SUITE N-17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113465",
            "telephone_number": "505-293-6705",
            "fax_number": "505-293-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER L MARIANETTI, D.M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVER L. MARIANETTI, D.M.D.",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "MARIANETTI",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR./BUSINESS OWNER",
        "authorized_official_telephone_number": "505-293-6705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1467",
            "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 Jun 1, 2009; 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.