Organization Active NPI

Dentamax Dental Services LLC

Doing business as Riverpoint Family, Cosmetic, & Implant Dentistry

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1356722078
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD4283 Issued in NM
Legal business name
DENTAMAX DENTAL SERVICES LLC
Doing business as
Riverpoint Family, Cosmetic, & Implant Dentistry
Practice address
4421 Irving Blvd NW
Suite B
Albuquerque, NM 87114-5919
Phone
(505) 821-6910
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Boyd Emmitt Newsome, DMDNPI 1396091799
Title
Ceo/Owner
Phone
(480) 250-8597

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 Dentistry 1223G0001X DD4283 NM Primary

Addresses

Primary practice location

4421 Irving Blvd NW
Suite B
Albuquerque, NM 87114-5919

Mailing address

4421 Irving Blvd NW
Suite B
Albuquerque, NM 87114-5919
Phone (505) 821-6910

Other names 1

  • Riverpoint Family, Cosmetic, & Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1356722078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 IRVING BLVD NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145919",
            "telephone_number": "505-821-6910",
            "fax_number": "505-792-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 IRVING BLVD NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145919",
            "telephone_number": "505-821-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAMAX DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "EMMITT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-250-8597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverpoint Family, Cosmetic, & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2015; 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.