Dental Tribe NE Abq LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL TRIBE NE ABQ LLC

Doing business as

High Desert Dental

Practice address

3520 Montgomery Blvd NE
Albuquerque, NM 87107-4846

Phone

(505) 888-2606

NPI assigned

Mar 11, 2021

Last updated

Mar 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Taylor Louise Rodas

Title

Office Manager

Phone

(760) 987-0101

Specialties & licenses 1

Addresses

Other names 1

• High Desert Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helena Wu, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1366187726
  NPD
• Nicholas Lipetzky

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1679407274
  NPD (past)
• Gary McCabe Ross, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1093856213
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1578148474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074846",
            "telephone_number": "505-888-2606",
            "fax_number": "505-837-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074846",
            "telephone_number": "505-888-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074846",
            "country_code": "US",
            "telephone_number": "505-888-2606",
            "fax_number": "505-837-1635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL TRIBE NE ABQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-987-0101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Patricia Dentinger, SLP-CF
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• Dental Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.