Albuquerque Modern Dentistry, LLC
NPI 1487953790ActiveOrganization· Dentist, General Practice· Albuquerque, NM
Dentist, General Practice in Albuquerque, New Mexico, registered in NPPES in March 2011. The authorized official on file is Mario Herrejon-Ruiz, DMD, Owner Doctor.
Overview
| NPI | 1487953790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2011 |
| Last updated in NPPES | Nov 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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