NPIMap

Organization Active NPI

Southwest Oral and Maxillofacial Surgeons LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1629615851
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC
Practice address
5900 Cubero Dr NE Ste a
Albuquerque, NM 87109-3879
Phone
(505) 797-3530
Fax
(505) 797-2155
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Wai Pong NG, DMD
Title
Owner
Phone
(505) 797-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5900 Cubero Dr NE Ste a
Albuquerque, NM 87109-3879

Mailing address

5900 Cubero Dr NE Ste a
Albuquerque, NM 87109-3879
Phone (505) 797-3530

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address office@swomfs.com
CONNECT URL www.swomfs.com

National Provider Directory

National Provider Directory

Locations

5900 Cubero Dr NE
Ste A
Albuquerque, NM 87109
Phone (505) 797-3530

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1629615851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CUBERO DR NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093879",
            "telephone_number": "505-797-3530",
            "fax_number": "505-797-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CUBERO DR NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093879",
            "telephone_number": "505-797-3530",
            "fax_number": "505-797-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "WAI PONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-797-3530",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@swomfs.com",
            "affiliation": "N",
            "address_1": "5900 Cubero Dr NE Ste A",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871093879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.swomfs.com",
            "affiliation": "N",
            "address_1": "5900 Cubero Dr NE Ste A",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871093879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 6, 2019; 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.