NPIMap

Organization Active NPI

New Mexico Professional Dental Associates, Inc

Doing business as Alegre Dental @ Bosque

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1447645726
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
Doing business as
Alegre Dental @ Bosque
Practice address
9384 Valley View Dr NW Ste 200
Albuquerque, NM 87114-4403
Phone
(505) 332-9198
Fax
(505) 332-9027
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Kim Wilson
Title
Cred Superivsor
Phone
(217) 540-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9384 Valley View Dr NW Ste 200
Albuquerque, NM 87114-4403

Mailing address

9384 Valley View Dr NW Ste 200
Albuquerque, NM 87114-4403
Phone (505) 332-9198

Other names 1

  • Alegre Dental @ Bosque Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Mexico Professional Dental7 organizations share this tax ID, including this one
Part of
New Mexico Professional Dental

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9384 Valley View Dr NW
Ste 200
Albuquerque, NM 87114
Phone (505) 332-9198

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1447645726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9384 VALLEY VIEW DR NW STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144403",
            "telephone_number": "505-332-9198",
            "fax_number": "505-332-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9384 VALLEY VIEW DR NW STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144403",
            "telephone_number": "505-332-9198",
            "fax_number": "505-332-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CRED SUPERIVSOR",
        "authorized_official_telephone_number": "217-540-5170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegre Dental @ Bosque",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2015; 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.