Individual provider Active NPI

Laura A. Snyder, D.D.S

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1427351576
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD22008 Issued in NM
Practice address
4830 Juan Tabo Blvd NE Ste K
Albuquerque, NM 87111-2682
Phone
(505) 293-7611
NPI assigned
Dec 13, 2010
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD22008 NM Primary

Addresses

Primary practice location

4830 Juan Tabo Blvd NE Ste K
Albuquerque, NM 87111-2682

Mailing address

4830 Juan Tabo Blvd NE Ste K
Albuquerque, NM 87111-2682
Phone (505) 293-7611

Other practice location 1

330 Chiloquin Blvd.
Chiloquin, OR 97624
Phone (541) 882-1487

Other names 1

  • Dr. Laura A. Grabowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DD22008NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Snyder DDS LLC CurrentSince Jul 9, 2025 Accepting new patients
Alicia a. Abeyta DDS LLC Dentist PastSince Jan 21, 2024 Accepting new patients

Locations

4830 Juan Tabo Blvd NE
Ste K
Albuquerque, NM 87111
Phone (505) 293-7611

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1427351576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 JUAN TABO BLVD NE STE K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112682",
            "telephone_number": "505-293-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 JUAN TABO BLVD NE STE K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112682",
            "telephone_number": "505-293-7611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Chiloquin Blvd.",
            "address_purpose": "LOCATION",
            "city": "Chiloquin",
            "state": "OR",
            "postal_code": "97624",
            "country_code": "US",
            "telephone_number": "541-882-1487",
            "fax_number": "541-783-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LAURA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD22008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GRABOWSKI",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 18, 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.