Organization Active NPI

New Mexico Community Dental

  • Public Health Dentistry
  • Albuquerque, NM
National Provider Identifier
1851899751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
NEW MEXICO COMMUNITY DENTAL
Practice address
2116 Hinkle St SE
Albuquerque, NM 87102-4930
Phone
(505) 843-7493
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Kwei Tschen
Title
Owner
Phone
(216) 904-2805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X NM Primary

Addresses

Primary practice location

2116 Hinkle St SE
Albuquerque, NM 87102-4930

Mailing address

2116 Hinkle St SE
Albuquerque, NM 87102-4930
Phone (505) 843-7493

Other identifiers 1

IdentifierTypeStateIssuer
00047506MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851899751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 HINKLE ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024930",
            "telephone_number": "505-843-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 HINKLE ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024930",
            "telephone_number": "505-843-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO COMMUNITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TSCHEN",
        "authorized_official_first_name": "KWEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-904-2805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00047506",
            "state": "NM"
        }
    ],
    "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 21, 2022; 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.