Trucare Mobile

Primary specialty

DentistTaxonomy code 122300000X

License

DD4236 Issued in NM

Legal business name

TRUCARE MOBILE

Practice address

1510 Wyoming Blvd NE Ste a
Albuquerque, NM 87112-3866

Phone

(505) 903-6999

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Sunil Kumar Guddeti, DMD

Title

Dentist

Phone

(505) 903-6999

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Metro Nashville Public Health Dept103 organizations share this tax ID, including this one

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1306298765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WYOMING BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WYOMING BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123866",
            "telephone_number": "505-903-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "GUDDETI",
        "authorized_official_first_name": "SUNIL KUMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-903-6999",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54501334",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathrine Troy, MA, LPCC, LPAT ATR
• Maribeth Troyer, FNP-C
• Tru-Quality Design/Construction Inc.
• Trucare Dental Group
• Trucare Dental Wyoming Blvd LLC
• Elizabeth Truchon
• Michelle Truckey, D.O.M, L.AC.
• True Color Counseling
• True Color Counseling, LLC
• True North Family Counseling

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.