Peppermint Dental-Montgomery LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PEPPERMINT DENTAL-MONTGOMERY LLC

Practice address

4411 San Mateo Blvd NE
Suite E-1
Albuquerque, NM 87109-2011

Phone

(972) 869-3789

NPI assigned

Dec 30, 2010

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

Cfo

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1790089068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 STATE HIGHWAY 161 STE 198",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392880",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SAN MATEO BLVD NE",
            "address_2": "SUITE E-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092011",
            "telephone_number": "972-869-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERMINT DENTAL-MONTGOMERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith E. Pentz, MD
• Madhuri Penugonda, M.D.
• Fay Pepin, PA
• William John Peplinski, DOM
• April Pepper
• Peppermint Dental-Rio Bravo LLC
• Peppermint Dental-San Mateo PLLC
• Sara Pepple, CNTP
• Peptineo LLC
• Anna Peralta, LMHC

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.