Jung Nouri, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DD3501 Issued in NM

Practice address

9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6440

Phone

(505) 375-2039

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlee174860@ahs.direct-ci.com

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.

• Happy Campers Pediatric Dentistry, LLC

  dba Happy Campers Pediatric Dentistry

  • Pediatric Dentistry
  • Albuquerque, NM
  • NPI 1578381646
  NPD Authorized official

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1932494408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146440",
            "telephone_number": "505-375-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146440",
            "telephone_number": "505-375-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURI",
        "first_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008877",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Noth
• Sara Lynn Nottingham, EDD, LAT, ATC
• Badr Ahmed Noureldaem Badr
• Nouri Family Dentistry, LLC (Sunridge Dental Care)
• Alexander Nouri, DDS
• Nourish Pediatric Therapies LLC
• Nourishmental Health Counseling LLC (NourishMental Health New Mexico LLC)
• Brice Enid Nouthe Tietchou, MD
• Nova Academy LLC
• Nova Therapy LLC

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.