NPIMap

Organization Active NPI

Gloria Wengert DDS PC

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1316957673
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1368 Issued in NM
Legal business name
GLORIA WENGERT DDS PC
Practice address
3803 Artisco Dr NW
#D
Albuquerque, NM 87120
Phone
(505) 833-1550
Fax
(505) 831-8726
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Gloria H Wengert, DDS FAGDNPI 1720098403
Title
Owner
Phone
(505) 833-1550

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1368 NM Primary

Addresses

Primary practice location

3803 Artisco Dr NW
#D
Albuquerque, NM 87120

Mailing address

3803 Artisco Dr NW
#D
Albuquerque, NM 87120
Phone (505) 833-1550

National Provider Directory

National Provider Directory

Locations

3803 Atrisco Dr NW
Ste D
Albuquerque, NM 87120
Phone (505) 833-1550

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1316957673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 ARTISCO DR NW",
            "address_2": "#D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-833-1550",
            "fax_number": "505-831-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 ARTISCO DR NW",
            "address_2": "#D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-833-1550",
            "fax_number": "505-831-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA WENGERT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "WENGERT",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-833-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1368",
            "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 Jul 25, 2008; 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.