Crds
NPI 1013390087ActiveOrganization· Dentist· Albuquerque, NM
Dentist in Albuquerque, New Mexico, registered in NPPES in July 2015, part of Albuquerque Modern Dentistry. The authorized official on file is Michael Ross Conner, DDS, Dentist.
Overview
| NPI | 1013390087 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Albuquerque Modern Dentistry |
| NPI issued | Jul 8, 2015 |
| Last updated in NPPES | Jul 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DD4332 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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