Imperium Dental Group LLC
NPI 1518810191ActiveOrganization· Dentist· Albuquerque, NM
Dentist in Albuquerque, New Mexico, registered in NPPES in February 2026. The authorized official on file is Bongmin An, DDS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518810191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2026 |
| Last updated in NPPES | Feb 16, 2026 |
| Certified by provider | Feb 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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