Individual provider Active NPI

Michael Sanchez, D.D.S

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1992114995
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD4157 Issued in NM
Practice address
333 San Mateo Blvd SE Unit a
Albuquerque, NM 87108-2919
Phone
(505) 268-8888
NPI assigned
Aug 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD4157 NM Primary

Addresses

Primary practice location

333 San Mateo Blvd SE Unit a
Albuquerque, NM 87108-2919

Mailing address

333 San Mateo Blvd SE Unit a
Albuquerque, NM 87108-2919
Phone (505) 268-8888

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170424001804 NM Order and Referring Only - DentistPractitioner - Dentist 3971889114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD4157NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peppermint Dental-San Mateo PLLC Past Accepting new patients

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1992114995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SAN MATEO BLVD SE UNIT A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082919",
            "telephone_number": "505-268-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SAN MATEO BLVD SE UNIT A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082919",
            "telephone_number": "505-268-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.