DR. MATHEW RANDLE DENNISON (NPI# 1477973295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477973295 |
| Entity Type | Individual |
| Full Name | DR. MATHEW RANDLE DENNISON |
| Practice Address |
1801 Camino De Salud Ne Albuquerque NM 87102-4516 |
| Mailing Address |
933 Bradbury Dr Se Albuquerque NM 87106-4374 |
| Practice Telephone | 5059254031 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2014-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NM | Student, Health Care |
| Street Address |
1801 CAMINO DE SALUD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447898 | Marc Bernard Appelbaum | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2005-06-21 |
| 1184016933 | Puja Bhakta | Student in an Organized Health Care Education/Training Program | 1801 Camino De Salud Ne, Suite #1200, Albuquerque, NM 87102-4516 | 2015-03-02 |
| 1801163233 | Trang T Lucero | Dental Hygienist | 1801 Camino De Salud Ne, Albuquerque, NM 87102 | 2011-11-30 |
| 1770879694 | Unm Medical Group Inc | Clinic/Center | 1801 Camino De Salud Ne, Suite 1100, Albuquerque, NM 87102-4516 | 2011-06-20 |
| 1720318439 | Jason Flores | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2009-12-31 |
| 1740419100 | Melissa Ivers | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102 | 2009-07-07 |
| 1841484763 | University of New Mexico Dental Services | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-0001 | 2007-09-04 |
| 1710069877 | George Yarbrough | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2006-10-19 |
| 1346222668 | Peter Marshall Jensen | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2005-11-14 |
| 1760471379 | Charles Tatlock | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2005-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952228 | Toshiyuki Shiina | Student in an Organized Health Care Education/Training Program | Unmh Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1447869144 | Tarab Mansoor | Student in an Organized Health Care Education/Training Program | Msc10 5620 1 University of New Mexico Albuquerque Nm, Albuquerque, NM 87131-0001 | 2020-07-28 |
| 1306454392 | Yusra Azhar | Student in an Organized Health Care Education/Training Program | Msc 5615 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-16 |
| 1154949360 | Muhammad Abdur Raafey | Student in an Organized Health Care Education/Training Program | Msc11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-14 |
| 1194347344 | Waseem Zechariah Wagrees | Student in an Organized Health Care Education/Training Program | Department of Neurology Msc 105620, University of New Mexico, Albuquerque, NM 87131-0001 | 2020-05-11 |
| 1508487562 | Jonathan G Swope | Student in an Organized Health Care Education/Training Program | Msc (aegd) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-30 |
| 1619598844 | Syed Faraz Faraz Kazim | Student in an Organized Health Care Education/Training Program | Department of Neurosurgery, Msc 10-5615, University of New Mexico School of Medicine, Albuquerque, NM 87131-0001 | 2020-04-28 |
| 1700407939 | Ravi Soni | Student in an Organized Health Care Education/Training Program | Department of Neurology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on DR. MATHEW RANDLE DENNISON.
| 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.