PARTICIPA, INC. DENTAL SERVICES (NPI# 1134289838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134289838 |
| Entity Type | Organization |
| Organization Name | PARTICIPA, INC. DENTAL SERVICES |
| Practice Address |
2434 Valencia Dr Ne Albuquerque NM 87110-4013 |
| Practice Telephone | 8008866751 |
| Practice Fax Number | 8008866751 |
| Mailing Telephone | 8008866751 |
| Mailing Fax Number | 8008866751 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | JANET T BRYANT (PRESIDENT) |
| Authorized Official Telephone | 8008866751 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
DD629 | NM | Dental Providers |
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DD1432 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 73799 | 05 |
| Street Address |
2434 VALENCIA DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619919222 | Gary Gritzbaugh | Dentist | 2434 Valencia Dr Ne, Albuquerque, NM 87110-4013 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235386459 | Wagner & Schuman Dental Offices | Dentist | 201 Wyoming Blvd Ne, Albuquerque, NM 87123-1029 | 2008-08-19 |
| 1235306242 | William Albert Schulz | Dentist | 2434 Valencia Ne, Albuquerque, NM 87110 | 2008-05-09 |
| 1134143423 | Nancy L Sandmann | Dentist | 9169 Coors Blvd Nw, Albuquerque, NM 87120-3101 | 2006-07-27 |
| 1144701103 | Valer Dental Coors LLC | Dentist | 1514 Coors Blvd Nw, Albuquerque, NM 87121-1152 | 2018-08-27 |
| 1851899751 | New Mexico Community Dental | Dentist | 2116 Hinkle St Se, Albuquerque, NM 87102-4930 | 2018-01-25 |
| 1295014769 | Derrick Ray Baca | Dentist | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2011-08-15 |
| 1346489374 | Keri Renee Giron | Dentist | 5608 Zuni Rd Se, Albuquerque, NM 87108-2926 | 2009-02-14 |
| 1396919106 | Stewart Joseph Anderson | Dentist | 4520 Lower Terrace Cir Ne, Albuquerque, NM 87111-2503 | 2008-04-14 |
| 1174632350 | Community Dental Services, Inc. | Dentist | 2116 Hinkle St Se, Albuquerque, NM 87102-4930 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649631862 | Philip Onyirimba | Dentist | Highway 84 County Road 0324 #14, Tierra Amarilla, NM 87575 | 2016-03-16 |
| 1225158348 | Pueblo of Isleta | Dentist | 01 Sagebrush Rd, Isleta, NM 87022-0000 | 2007-03-30 |
| 1558415125 | David Jones | Dentist | 25 E Alary Ln, Corrales, NM 87048-8307 | 2007-01-22 |
| 1831169986 | John James Richter IIi | Dentist | 1 Sagebrush St, Isleta, NM 87022 | 2006-01-23 |
| 1053314674 | Paul J Krispinsky | Dentist | 1090 Goat Springs Rd., Box 1956, Taos, NM 87571 | 2005-05-27 |
| 1093261729 | Jaime Martinez | Dentist | Us Hwy 491 North, Shiprock, NM 87420 | 2016-09-01 |
| 1407260409 | Lisa Danelle Begay | Dentist | 129 Medicine Horse Dr., To'hajiilee, NM 87026 | 2014-06-17 |
| 1417223694 | Liang-tso Tung | Dentist | 145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 | 2012-04-01 |
| 1316924152 | Chien-ying Lee | Dentist | 1700 Cerrillos Rd, Dental Department, Santa Fe, NM 87505-3554 | 2005-12-22 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on PARTICIPA, INC. DENTAL SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.