NPIMap

Organization Active NPI

Sandia Dental Care LLC

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1518345552
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2810 Issued in NM
Legal business name
SANDIA DENTAL CARE LLC
Practice address
6800 Montgomery Blvd NE
Suite C
Albuquerque, NM 87109-1405
Phone
(505) 884-8000
Fax
(505) 884-4012
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Dr. Sarah L Kassam, DDS
Title
Owner
Phone
(505) 884-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2810 NM Primary

Addresses

Primary practice location

6800 Montgomery Blvd NE
Suite C
Albuquerque, NM 87109-1405

Mailing address

6800 Montgomery Blvd NE
Suite C
Albuquerque, NM 87109-1405
Phone (505) 884-8000

National Provider Directory

National Provider Directory

Locations

6800 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109
Phone (505) 884-8000

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1518345552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091405",
            "telephone_number": "505-884-8000",
            "fax_number": "505-884-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091405",
            "telephone_number": "505-884-8000",
            "fax_number": "505-884-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "KASSAM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-884-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 18, 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.