Mark C McAnelly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002 Issued in NM

Practice address

9315 Galaxia Way NE
Albuquerque, NM 87111-1434

Phone

(505) 822-8411

Fax

(505) 858-1366

NPI assigned

Mar 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1871817387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 GALAXIA WAY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111434",
            "telephone_number": "505-822-8411",
            "fax_number": "505-858-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 GALAXIA WAY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111434",
            "telephone_number": "505-822-8411",
            "fax_number": "505-858-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANELLY",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn McAlester, CNP
• Gregory R McAllister, D.D.S, J.D.
• Jessica McAllister, MD
• William Daniel McAndrew, LCSW
• Amy Therese McAndrews
• Barbara Lynn McAneny, MD
• Syniah McArthur-Harris, CSW
• Samuel A McArthur, MD
• Chelsea Taylor McAuslan, MD
• Matthew Christie McBatra, MD

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.