NPIMap

Organization Active NPI

C. Mahlon Fraleigh, DDS, LLC

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1558709691
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD2619 Issued in NM
Legal business name
C. MAHLON FRALEIGH, DDS, LLC
Practice address
8400 Osuna Rd NE
Ste 4-B
Albuquerque, NM 87111-2087
Phone
(505) 293-2644
Fax
(505) 293-2298
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Dr. Claud Mahlon Fraleigh II, D.D.S.
Title
Owner
Phone
(505) 293-2644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DD2619 NM Primary

Addresses

Primary practice location

8400 Osuna Rd NE
Ste 4-B
Albuquerque, NM 87111-2087

Mailing address

8400 Osuna Rd NE
Ste 4-B
Albuquerque, NM 87111-2087
Phone (505) 293-2644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1558709691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "STE 4-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-293-2644",
            "fax_number": "505-293-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "STE 4-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-293-2644",
            "fax_number": "505-293-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. MAHLON FRALEIGH, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "FRALEIGH",
        "authorized_official_first_name": "CLAUD",
        "authorized_official_middle_name": "MAHLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-293-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD2619",
            "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 Jun 11, 2013; 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.