Active NPI
Ella Algermissen, DDS
- General Practice Dentistry
- Rio Rancho, NM
National Provider Identifier
1730865692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DB-2023-0153
- Practice address
- 1904 Wellspring Ave SE #101
Rio Rancho, NM 87124 - Phone
- (505) 896-6654
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- 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-2023-0153 | NM | Primary |
Addresses
Primary practice location
1904 Wellspring Ave SE #101
Rio Rancho, NM 87124
Mailing address
400 Shirk Lane SW
Albuquerque, NM 87105
Other practice location 1
7520 Montgomery Blvd NE #E12
Albuquerque, NM 87109
Phone (505) 888-6980
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB-2023-0153 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1730865692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SHIRK LANE SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 WELLSPRING AVE SE #101",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87124",
"telephone_number": "505-896-6654"
}
],
"practiceLocations": [
{
"address_1": "7520 Montgomery Blvd NE #E12",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87109",
"country_code": "US",
"telephone_number": "505-888-6980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALGERMISSEN",
"first_name": "ELLA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DB-2023-0153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.