Active NPI
New Mexico Community Dental
- Public Health Dentistry
- Albuquerque, NM
National Provider Identifier
1851899751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00047506 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI 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
- New Mexico Childrens Kidney Center
- New Mexico Chiropractic Center PC
- New Mexico Clinical Research & Osteoporosis Center, Inc
- New Mexico Colon & Rectal Surgery Associates
- New Mexico Community Care
- New Mexico Consumer Direct Personal Care, LLC
- New Mexico Counseling & Trauma Recovery
- New Mexico Counseling and Brain Health
- New Mexico CPM Inc
- New Mexico Dentistry Prada, PLLC
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.