Individual provider Active NPI

Jansen Donoghue

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1871799262
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD2982 Issued in NM
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

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DRES182007OtherNMTRAINING

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

LicenseStateTypeSpecialty
DRES182007NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia Peak Dental, LLC CurrentSince Apr 6, 2025 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.

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.

Verify at the official NPI Registry.