Active NPI
Westside Family Dentistry
- Dentist
- Albuquerque, NM
National Provider Identifier
1386868321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2025
- Legal business name
- WESTSIDE FAMILY DENTISTRY
- Practice address
- 5920 Whiteman Dr NW
Albuquerque, NM 87120 - Phone
- (505) 897-6889
- Fax
- (505) 922-1319
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anna G Delao
- Title
- Office Manager
- Phone
- (505) 897-6889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2025 | Primary |
Addresses
Primary practice location
5920 Whiteman Dr NW
Albuquerque, NM 87120
Mailing address
5920 Whiteman Dr NW
Albuquerque, NM 87120
Phone (505) 897-6889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77555 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386868321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 WHITEMAN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-897-6889",
"fax_number": "505-922-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 WHITEMAN DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-897-6889",
"fax_number": "505-922-1319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELAO",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "505-897-6889",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": "2025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77555",
"state": "NM"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.