NEW MEXICO DERMATOLOGY ASSOCIATES, P.A. (NPI# 1982764775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982764775 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO DERMATOLOGY ASSOCIATES, P.A. |
| Practice Address |
7520 Montgomery Blvd Ne Suite D-5 Albuquerque NM 87109-1521 |
| Practice Telephone | 5058847070 |
| Practice Fax Number | 5058845148 |
| Mailing Telephone | 5058847070 |
| Mailing Fax Number | 5058845148 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH EUGENE HARPER (OWNER) |
| Authorized Official Telephone | 5058847070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
7520 MONTGOMERY BLVD NE SUITE D-5 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124126 | Paul Martin Clifford | Dentist | 7520 Montgomery Blvd Ne, Bldg D2, Albuquerque, NM 87109-1533 | 2005-06-16 |
| 1801364161 | Heights Chiropractic & Sports Medicine | Chiropractor | 7520 Montgomery Blvd Ne, Ste D10, Albuquerque, NM 87109 | 2018-11-05 |
| 1982148128 | Dental Smile Design | Dentist | 7520 Montgomery Blvd Ne, Bldg. C Ste. D, Albuquerque, NM 87109-1521 | 2016-12-07 |
| 1801271523 | Mark Joseph Vigil | Physical Therapist | 7520 Montgomery Blvd Ne, Suite E8, Albuquerque, NM 87109-1521 | 2015-07-23 |
| 1568869287 | Tamara Urvanejo | Dental Hygienist | 7520 Montgomery Blvd Ne, Suite E12, Albuquerque, NM 87109-1521 | 2014-11-24 |
| 1952738965 | R.l.romanik Md LLC | Psychiatry & Neurology | 7520 Montgomery Blvd Ne, Suite D12, Albuquerque, NM 87109 | 2013-10-04 |
| 1326329178 | Michael A. Pendleton, Dc, Ccsp, PC | Chiropractor | 7520 Montgomery Blvd Ne, Bldg E-9, Albuquerque, NM 87109-1521 | 2011-09-07 |
| 1023300068 | Love Your Smile Dental Hygiene | Clinic/Center | 7520 Montgomery Blvd Ne, Suite D-3, Albuquerque, NM 87109-1521 | 2011-05-10 |
| 1386948842 | George Goodkin Dpm Dom PC | Durable Medical Equipment & Medical Supplies | 7520 Montgomery Blvd Ne, Bldg D-12, Albuquerque, NM 87109-1521 | 2010-12-27 |
| 1609179985 | Matthew Wf Smith | Audiologist-Hearing Aid Fitter | 7520 Montgomery Blvd Ne, Suite E-15, Albuquerque, NM 87109-1521 | 2010-12-08 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504168 | Beautiful Transitions Consulting | Specialist | 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 | 2019-08-19 |
| 1952840191 | Odely Ortiz-vega | Specialist | 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 | 2017-02-21 |
| 1669824652 | Jeanette Marie Deanda | Specialist | 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 | 2016-07-01 |
| 1881054583 | Tlc Therapeutics LLC | Specialist | 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 | 2016-02-24 |
| 1497145940 | Elevate: Performance Health Wellness | Specialist | 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 | 2015-02-04 |
| 1336541184 | Thomas Lopez I | Specialist | 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 | 2014-09-24 |
| 1558787267 | Erica Saldana | Specialist | 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 | 2014-03-05 |
| 1164851382 | Djaa Tlhenai Medicine Lodge | Specialist | 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 | 2013-11-07 |
| 1912333139 | George Richard Louderbough | Specialist | 7321 Avenida La Costa Ne, Albuquerque, NM 87109-3900 | 2013-09-19 |
| 1821420738 | Advocates of New Mexico, LLC | Specialist | 230 Adams St Se Ste C, Albuquerque, NM 87108-2805 | 2013-08-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on NEW MEXICO DERMATOLOGY ASSOCIATES, P.A..
| 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.