NPIMap

Organization Active NPI

GS Dental

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1356709661
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1484 Issued in NM
Legal business name
GS DENTAL
Practice address
7910 Wyoming Blvd N.E. #a
Albuquerque, NM 87109
Phone
(505) 883-5835
Fax
(505) 830-3120
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Ryan Sill
Title
Owner
Phone
(505) 883-5835

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1484 NM Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DD3266 NM

Addresses

Primary practice location

7910 Wyoming Blvd N.E. #a
Albuquerque, NM 87109

Mailing address

7910 Wyoming Blvd N.E. #a
Albuquerque, NM 87109
Phone (505) 883-5835

National Provider Directory

National Provider Directory

Locations

7910 Wyoming Blvd NE
Ste A
Albuquerque, NM 87109
Phone (505) 883-5835

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1356709661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WYOMING BLVD N.E. #A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-883-5835",
            "fax_number": "505-830-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WYOMING BLVD N.E. #A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-883-5835",
            "fax_number": "505-830-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "SILL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-883-5835"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1484",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3266",
            "primary": false
        }
    ],
    "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 May 22, 2023; 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.