NPIMap

Organization Active NPI

Desert Ridge Dental

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1841664786
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD3714 Issued in NM
Legal business name
DESERT RIDGE DENTAL
Practice address
9501 Paseo del Norte NE Ste a
Albuquerque, NM 87122-2999
Phone
(505) 369-1881
Fax
(505) 369-1882
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Ms. Darlene Unale
Title
Office Coordinator
Phone
(505) 369-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DD3714 NM Primary

Addresses

Primary practice location

9501 Paseo del Norte NE Ste a
Albuquerque, NM 87122-2999

Mailing address

9501 Paseo del Norte NE Ste a
Albuquerque, NM 87122-2999
Phone (505) 369-1881

National Provider Directory

National Provider Directory

Locations

9501 Paseo del Norte NE
Ste A
Albuquerque, NM 87122
Phone (505) 369-1881

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1841664786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 PASEO DEL NORTE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222999",
            "telephone_number": "505-369-1881",
            "fax_number": "505-369-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 PASEO DEL NORTE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222999",
            "telephone_number": "505-369-1881",
            "fax_number": "505-369-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT RIDGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "UNALE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "505-369-1881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3714",
            "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 Nov 16, 2015; 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.