Signature New Mexico Dental Partners

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SIGNATURE NEW MEXICO DENTAL PARTNERS

Doing business as

ABQ Dentists
ABQ East Mountain Dentists
ABQ Uptown Denists

Practice address

3900 Eubank Blvd NE Ste 14
Albuquerque, NM 87111-3427

Phone

(505) 293-8011

NPI assigned

Jun 27, 2023

Organization subpart

Yes

Parent organization

SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Melody Bennion

Title

Director of Integrations

Phone

(480) 234-8490

Specialties & licenses 1

Addresses

Other names 3

• ABQ Dentists Doing business as
• ABQ East Mountain Dentists Doing business as
• ABQ Uptown Denists Doing business as

Part of

Signature Dental Partners LLC

Practitioners 2

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

• Gaylina Reachi, D.D.S

  • Dentist
  • Albuquerque, NM
  • NPI 1518977396
  NPD (past)
• Anne Marie Scott, D.D.S.

  • Dentist
  • Albuquerque, NM
  • NPI 1740622349
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1356027858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087622",
            "telephone_number": "480-234-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE STE 14",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113427",
            "telephone_number": "505-293-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11896-B Highway 14",
            "address_purpose": "LOCATION",
            "city": "Tijeras",
            "state": "NM",
            "postal_code": "87059",
            "country_code": "US",
            "telephone_number": "505-531-8050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7127 Prospect Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871104313",
            "country_code": "US",
            "telephone_number": "505-881-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE NEW MEXICO DENTAL PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABQ Dentists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABQ Dentists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABQ East Mountain Dentists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABQ Uptown Denists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel Sigala
• David Wayne Sigars
• Donna M Sigl, MD
• Virginia Sigler, CNP
• Robert K Sigman, MD
• Barry Roger Silbaugh, MD
• Adriana Siles Peraza
• Ryan Sill, D.M.D.
• Rene Suzanne Silleroy, PH.D.
• Elizabeth Silumba

• Dental Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.