Unm Medical Group Inc
Organization Active NPI Dental Clinic/Center · Albuquerque, NM
NPI 1770879694 · NPPES record last updated Jan 23, 2013
Key facts
- NPI
- 1770879694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- UNM MEDICAL GROUP INC
- Practice address
- 1801 Camino de Salud NE
Suite 1100
Albuquerque, NM 87102-4516 - Phone
- (505) 925-4301
- NPI assigned
- Jun 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Gary Cuttrell, D.D.S., J.D.
- Title
- Chief Assistant Professor
- Phone
- (505) 272-1161
Other NPIs with the same Medicare PAC ID 2
Practitioners 1,057
-
Elaine A Acuff, PA-C
-
James Andrew Botros, M.D.
-
Tracy Marsh Carlson, M.D.
-
Amanda Frances Derylo, M.D.
-
Ruston Mitchell, LCSW
-
Maria Celina Montoya, M.D.
-
Bradley P. Pickett, M.D.
-
Paula E Smith, FNP-C
-
Jeremy W Snyder, MD
-
Bessie Abraham, M.D
-
Shirley Mary Abraham, M.D.
-
Yaw Amaning Adjei-Poku, M.D.
-
Allen B Adolphe, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2030128 | Unm Dental Services | Certificate of waiver | Sep 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140211000635 | NM | Part B Supplier - Ambulatory Surgical Center | 4981795267 | Practice locations: Albuquerque, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1801 Camino de Salud NE
Suite 1100
Albuquerque, NM 87102-4516
Mailing address
933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3203
Other names
- UNM Dental Services - Camino de Salud Ambulatory Surgical Center
Other providers in Albuquerque, NM
- Unm Hospital
- Unm Hospital
- Unm Hospital
- Unm Medical Group Inc
- Unm Medical Group Inc
- Unm Medical Group Inc
- Unm Medical Group Inc
- Unm Medical Group Inc
- Unm Medical Group Inc Trauma
- Unm Medical Group, Inc.
All providers in Albuquerque, NM · Dental Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.