Nouri Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NOURI FAMILY DENTISTRY, LLC

Doing business as

Sunridge Dental Care

Practice address

6400 Central Ave SW
Albuquerque, NM 87105-2033

Phone

(480) 296-3351

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Nouri, DDSNPI 1689969800

Title

Partner

Phone

(480) 296-3351

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunridge Dental Care Doing business as

Practitioners 1

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

• Alexander Nouri, DDS

  • Dentist
  • Albuquerque, NM
  • NPI 1689969800
  NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1427719244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 FLORENCE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223769",
            "telephone_number": "480-296-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CENTRAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871052033",
            "telephone_number": "480-296-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURI FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-296-3351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09756736",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arram Noshirvan, MD
• Jodi Notah
• Alicia Noth
• Sara Lynn Nottingham, EDD, LAT, ATC
• Badr Ahmed Noureldaem Badr
• Alexander Nouri, DDS
• Jung Nouri, D.M.D.
• Nourish Pediatric Therapies LLC
• Nourishmental Health Counseling LLC (NourishMental Health New Mexico LLC)
• Brice Enid Nouthe Tietchou, MD

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.