Active NPI
Nicholas Lipetzky
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1679407274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DB-2026-0195
- Practice address
- 3520 Montgomery Blvd NE
Albuquerque, NM 87107-4846 - Phone
- (505) 888-2606
- NPI assigned
- Jun 9, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DB-2026-0195 | NM | Primary |
Addresses
Primary practice location
3520 Montgomery Blvd NE
Albuquerque, NM 87107-4846
Mailing address
3520 Montgomery Blvd NE
Albuquerque, NM 87107-4846
Phone (240) 394-0512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Tribe NE Abq LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1578148474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1679407274",
"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": "240-394-0512"
},
{
"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": [],
"basic": {
"last_name": "LIPETZKY",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DB-2026-0195",
"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 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.