NPIMap

Organization Active NPI

Fred S. Giombolini, DDS

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1811310709
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1484 Issued in NM
Legal business name
FRED S. GIOMBOLINI, DDS
Practice address
7910 Wyoming Blvd NE
Suite a
Albuquerque, NM 87109-6029
Phone
(505) 883-5835
Fax
(505) 830-3120
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Fred S. Giombolini, D.D.S.
Title
Owner
Phone
(505) 883-5835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1484 NM Primary

Addresses

Primary practice location

7910 Wyoming Blvd NE
Suite a
Albuquerque, NM 87109-6029

Mailing address

7910 Wyoming Blvd NE
Suite a
Albuquerque, NM 87109-6029
Phone (505) 883-5835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1811310709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WYOMING BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096029",
            "telephone_number": "505-883-5835",
            "fax_number": "505-830-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WYOMING BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096029",
            "telephone_number": "505-883-5835",
            "fax_number": "505-830-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED S. GIOMBOLINI, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "GIOMBOLINI",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-883-5835",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1484",
            "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 Jan 28, 2014; 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.