NPIMap

Organization Active NPI

Cubero Dental Associates PA

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1689728651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2031 Issued in NM
Legal business name
CUBERO DENTAL ASSOCIATES PA
Practice address
5920 Cubero Dr NE
Albuquerque, NM 87109-3867
Phone
(505) 822-0663
Fax
(505) 797-0531
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Farrell, DDSNPI 1912926213
Title
President
Phone
(505) 822-0663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1480 NM
General Practice Dentistry 1223G0001X 2298 NM
General Practice Dentistry 1223G0001X 2031 NM Primary

Addresses

Primary practice location

5920 Cubero Dr NE
Albuquerque, NM 87109-3867

Mailing address

5920 Cubero Dr NE
Albuquerque, NM 87109-3867
Phone (505) 822-0663

National Provider Directory

National Provider Directory

Locations

5920 Cubero Dr NE
Albuquerque, NM 87109
Phone (505) 822-0663

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689728651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 CUBERO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093867",
            "telephone_number": "505-822-0663",
            "fax_number": "505-797-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 CUBERO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093867",
            "telephone_number": "505-822-0663",
            "fax_number": "505-797-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUBERO DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-822-0663",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1480",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "2298",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "2031",
            "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 Aug 22, 2020; 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.