NPIMap

Organization Active NPI

Sunset Dental, LLC

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1992226401
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD4560 Issued in NM
Legal business name
SUNSET DENTAL, LLC
Practice address
6211 4TH St NW Ste 13
Albuquerque, NM 87107-5762
Phone
(505) 821-5437
NPI assigned
Jul 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Dr. Timothy Tang Ngo, DDSNPI 1073964730
Title
Owner/Dentist
Phone
(505) 821-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DD4560 NM Primary

Addresses

Primary practice location

6211 4TH St NW Ste 13
Albuquerque, NM 87107-5762

Mailing address

6211 4TH St NW Ste 13
Albuquerque, NM 87107-5762
Phone (505) 634-5541

Other identifiers 2

IdentifierTypeStateIssuer
30570280MedicaidNM
20832800MedicaidNM

Other names 1

  • Family Choice Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7520 Montgomery Blvd NE
Ste A
Albuquerque, NM 87109
Phone (909) 725-4137

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1992226401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 4TH ST NW STE 13",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075762",
            "telephone_number": "505-634-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 4TH ST NW STE 13",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075762",
            "telephone_number": "505-821-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TANG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "505-821-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30570280",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20832800",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Choice Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.