Alicia Ann Abeyta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD2626 Issued in NM

Practice address

5901 Wyoming Blvd NE Ste Q
Albuquerque, NM 87109-3859

Phone

(505) 585-1342

NPI assigned

Oct 12, 2005

Sex

Female

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Alicia a. Abeyta DDS LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1881825214
  NPD (past) Authorized official
• Laura Snyder DDS LLC

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1164311627
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1942298047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 BEVERLY HILLS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223606",
            "telephone_number": "505-353-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WYOMING BLVD NE STE Q",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093859",
            "telephone_number": "505-585-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEYTA",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Abernathy, LPCC
• Jennifer Chiawei Abernathy, PHARM.D.
• Kristan Diana Abernathy, MD
• Rose Abeyta-Bess, OT
• Adrian Kalei Abeyta
• Ameliana Abeyta
• Ashley Abeyta
• Catalina Abeyta, NP
• Christopher Abeyta
• Diana M Abeyta

• 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 Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.