SOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC (NPI# 1629615851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629615851 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC |
| Practice Address |
5900 Cubero Dr Ne Ste A Albuquerque NM 87109-3879 |
| Practice Telephone | 5057973530 |
| Practice Fax Number | 5057972155 |
| Mailing Telephone | 5057973530 |
| Mailing Fax Number | 5057972155 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | WAI PONG NG (OWNER) |
| Authorized Official Telephone | 5057973530 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
5900 CUBERO DR NE STE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457527368 | Southwest Oral & Maxillofacial Surgery | Dentist | 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468602 | Presbyterian Hospital Asc | Clinic/Center | 201 Cedar St Se Ste 7650, Albuquerque, NM 87106-4911 | 2019-10-16 |
| 1871922807 | Bear Canyon Oral & Facial Surgery | Clinic/Center | 10151 Montgomery Ne Ste 2-d, Albuquerque, NM 87111 | 2013-11-12 |
| 1699159053 | Mvi Surgery Center,llc | Clinic/Center | 1720 Wyoming Blvd Ne, Albuquerque, NM 87112-3855 | 2015-07-16 |
| 1881089894 | Sandia Surgery Center LLC | Clinic/Center | 5203 Juan Tabo Blvd Ne, Suite 1e, Albuquerque, NM 87111-2683 | 2015-04-06 |
| 1932536067 | Acute Care Surgery Medical Group of New Mexico, Inc. | Clinic/Center | 4221 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 | 2013-10-03 |
| 1639456973 | Physician Surgery Center of Albuquerque LLC | Clinic/Center | 9551 Paseo Del Norte Ne, Albuquerque, NM 87122-2975 | 2011-11-15 |
| 1962685834 | Optumcare Endoscopy Center New Mexico, LLC | Clinic/Center | 5400 Gibson Blvd Se, Floor 2; Elevator C, Albuquerque, NM 87108-4729 | 2007-12-13 |
| 1184753568 | Eisbach Facial Plastic Surgery PC | Clinic/Center | 7800 Constitution Ave Ne, Albuquerque, NM 87110-7552 | 2007-03-03 |
| 1831109560 | New Mexico Orthopaedic Surgery Center, LLC | Clinic/Center | 201 Cedar St Se, Ste 7650, Albuquerque, NM 87106-4917 | 2006-08-08 |
| 1871538694 | Southwest Endoscopy Ltd | Clinic/Center | 7788 Jefferson St Ne, Albuquerque, NM 87109-4342 | 2006-06-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC.
| 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.