New Mexico Professional Dental Associates, Inc
NPI 1164816039ActiveOrganization· Dentist, General Practice· Albuquerque, NM
Dentist, General Practice in Albuquerque, New Mexico, registered in NPPES in March 2015, part of New Mexico Professional Dental Associates, Inc. The authorized official on file is Kendra Walker, Credentialing Coordinator.
Overview
| NPI | 1164816039 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | New Mexico Professional Dental Associates, Inc |
| NPI issued | Mar 27, 2015 |
| Last updated in NPPES | Mar 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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