Active NPI
Jansen Donoghue
- Dentist
- Albuquerque, NM
National Provider Identifier
1871799262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD2982
- Practice address
- 8000 Eubank Blvd NE
Albuquerque, NM 87122-3225 - Phone
- (505) 298-6732
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD2982 | NM | Primary |
Addresses
Primary practice location
8000 Eubank Blvd NE
Albuquerque, NM 87122-3225
Mailing address
4604 Bentgrass MDWS NE
Rio Rancho, NM 87144-5757
Phone (505) 514-8795
Other practice location 1
1406 Luisa St Ste 1
Santa Fe, NM 87505-4161
Phone (505) 303-4503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DRES182007 | Other | NM | TRAINING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRES182007 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandia Peak Dental, LLC | Current | Accepting new patients |
Locations
8000 Eubank Blvd NE
Albuquerque, NM 87122
Phone (505) 298-6732
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1053901447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1871799262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 BENTGRASS MDWS NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445757",
"telephone_number": "505-514-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 EUBANK BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223225",
"telephone_number": "505-298-6732"
}
],
"practiceLocations": [
{
"address_1": "1406 Luisa St Ste 1",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875054161",
"country_code": "US",
"telephone_number": "505-303-4503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONOGHUE",
"first_name": "JANSEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD2982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING",
"identifier": "DRES182007",
"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 Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.