Apex Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DD4343 Issued in NM

Legal business name

APEX DENTAL

Practice address

6330 Riverside Plaza LN NW Ste 165
Albuquerque, NM 87120-2160

Phone

(630) 730-9676

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Suneel Kumar Namburi, DMDNPI 1811321003

Title

Dentist

Phone

(630) 730-9676

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Suneel Kumar Namburi, DMD

  • Dentist
  • Albuquerque, NM
  • NPI 1811321003
  NPD Authorized official

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1396250403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 165",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202160",
            "telephone_number": "630-730-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 165",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202160",
            "telephone_number": "630-730-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "NAMBURI",
        "authorized_official_first_name": "SUNEEL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-730-9676",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NUMBER",
            "identifier": "32284756",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENCE",
            "identifier": "DD4343",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.