Active NPI
Danial Ahmadi
- Dentist
- Albuquerque, NM
National Provider Identifier
1801634274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DB-2024-0230
- Practice address
- 1514 Coors Blvd NW
Albuquerque, NM 87121-1105 - Phone
- (505) 480-2725
- NPI assigned
- Jul 18, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DB-2024-0230 | NM | Primary |
Addresses
Primary practice location
1514 Coors Blvd NW
Albuquerque, NM 87121-1105
Mailing address
6700 Modesto Ave NE
Albuquerque, NM 87113-3208
Phone (306) 717-1840
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-2024-0230 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1801634274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 MODESTO AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871133208",
"telephone_number": "306-717-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871211105",
"telephone_number": "505-480-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMADI",
"first_name": "DANIAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DB-2024-0230",
"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 Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.