LRJ Dental LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

LRJ DENTAL LLC

Doing business as

Center for Dental Sleep Medicine & TMJ

Practice address

8311 San Pedro Dr NE Ste 3
Albuquerque, NM 87113-2540

Phone

(505) 433-2107

Fax

(505) 508-2674

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Kinnari JariwalaNPI 1568027027

Title

Owner

Phone

(816) 835-4622

Specialties & licenses 1

Addresses

Other names 1

• Center for Dental Sleep Medicine & TMJ Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kinnari Jariwala, DDS

  • Dentist
  • Albuquerque, NM
  • NPI 1568027027
  NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1952027146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MENAUL BLVD NE UNIT 1303",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071571",
            "telephone_number": "505-453-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 SAN PEDRO DR NE STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132540",
            "telephone_number": "505-433-2107",
            "fax_number": "505-508-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRJ DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "JARIWALA",
        "authorized_official_first_name": "KINNARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-835-4622"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dental Sleep Medicine & TMJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.