Active NPI
Ian-Michael Anthony Lente, PA-C
- Medical Physician Assistant
- Albuquerque, NM
National Provider Identifier
1447231261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- NM 84PA010
- Practice address
- 1010 Bridge Blvd SW
Suite B
Albuquerque, NM 87105-3765 - Phone
- (505) 508-1739
- NPI assigned
- Nov 9, 2005
- Last updated
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NM 84PA010 | NM | Primary |
Addresses
Primary practice location
1010 Bridge Blvd SW
Suite B
Albuquerque, NM 87105-3765
Mailing address
512 Ash St. S.E.
Apt. #1-B
Albuquerque, NM 87106
Phone (505) 977-1574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990283 | Other | NM | UNMH PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 84PA010 | NM | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1447231261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 ASH ST. S.E.",
"address_2": "APT. #1-B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-977-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BRIDGE BLVD SW",
"address_2": "SUITE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053765",
"telephone_number": "505-508-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTE",
"first_name": "IAN-MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "NM 84PA010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNMH PROVIDER NUMBER",
"identifier": "990283",
"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 Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.