Active NPI
Oliver L Marianetti, D.M.D.
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1295961571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1467
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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.
-
- Dentist
- Albuquerque, NM
- NPI 1437314234
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.