ALBUQUERQUE IMPLANT & PERIODONTAL CONSULTANTS. LLC (NPI# 1871681700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871681700 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE IMPLANT & PERIODONTAL CONSULTANTS. LLC |
| Practice Address |
10425 Montgomery Pkwy Ne Albuquerque NM 87111-3864 |
| Practice Telephone | 5052919000 |
| Practice Fax Number | 5052943998 |
| Mailing Telephone | 5052919000 |
| Mailing Fax Number | 5052943998 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL S SPARKS (OWNER) |
| Authorized Official Telephone | 5052919000 |
| Authorized Official Credential | DDS.,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DD2729 | NM | Dental Providers |
| Street Address |
10425 MONTGOMERY PKWY NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588047906 | Kari Suzanne Harnick | Dentist | 10425 Montgomery Pkwy Ne, Albuquerque, NM 87111 | 2015-07-02 |
| 1831241645 | Michael S Sparks | Dentist | 10425 Montgomery Pkwy Ne, Albuquerque, NM 87111-3864 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455017 | Pino Periodontics, LLC | Dentist | 7007 Wyoming Blvd Ne Ste D1, Albuquerque, NM 87109-3981 | 2018-01-16 |
| 1407140361 | Kevin Charles Harrison | Dentist | 10151 Montgomery Blvd Ne Ste C, Albuquerque, NM 87111-3670 | 2011-06-07 |
| 1023332350 | Chun-xiao Sun | Dentist | 8501 Candelaria Rd Ne Ste D3, Albuquerque, NM 87112-1032 | 2010-03-15 |
| 1124287206 | Redemption | Dentist | 4550 Eubank N.e., Suite 207, Albuquerque, NM 87111-2565 | 2008-06-04 |
| 1306931035 | Henry D Espinosa | Dentist | 10409 Montgomery Pkwy Ne #203, Albuquerque, NM 87111 | 2006-10-04 |
| 1356366975 | Mark A. Ferrari | Dentist | 10250 Cottonwood Park Nw Ste B, Albuquerque, NM 87114-7019 | 2006-07-13 |
| 1346408358 | Joseph Hampton Bowers | Dentist | 4550 Eubank Blvd Ne, Suite 207, Albuquerque, NM 87111-3479 | 2008-05-27 |
| 1033250667 | Keigm L Crook | Dentist | 6800 Montgomery Blvd Ne, Suite L, Albuquerque, NM 87109-1405 | 2007-02-08 |
| 1942306725 | Petra I Mayer | Dentist | 7520 Montgomery Blvd Ne, Suite D6, Albuquerque, NM 87109 | 2006-09-16 |
| 1336256544 | James Douglas Hardekopf | Dentist | 8400 Osuna Ne, Suite 1-a, Albuquerque, NM 87111-2068 | 2006-08-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on ALBUQUERQUE IMPLANT & PERIODONTAL CONSULTANTS. 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.