NPIMap

Organization Active NPI

Tri Dental, LLC

Doing business as Sonrisa Family Dental

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1841803830
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRI DENTAL, LLC
Doing business as
Sonrisa Family Dental
Practice address
3715 Las Estancias CT SW Ste 101
Albuquerque, NM 87121-5506
Phone
(505) 873-1819
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Brenton M Mason, DMDNPI 1336138031
Title
Member
Phone
(505) 301-4267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3715 Las Estancias CT SW Ste 101
Albuquerque, NM 87121-5506

Mailing address

3715 Las Estancias CT SW Ste 101
Albuquerque, NM 87121-5506
Phone (505) 873-1819

Other names 1

  • Sonrisa Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1841803830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 LAS ESTANCIAS CT SW STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215506",
            "telephone_number": "505-873-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 LAS ESTANCIAS CT SW STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215506",
            "telephone_number": "505-873-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-301-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisa Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2020; 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.