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BONGMIN AN DDS
NPI 1497960561
Dentist in Albuquerque, NM

Active since May 11, 2007PECOS Enrolled
3211 COORS BLVD SW STE D2, ALBUQUERQUE, NM 87121(505) 336-7451 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bongmin An Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONGMIN AN DDS (NPI 1497960561) is an individual dentist in Albuquerque, New Mexico, licensed in New Mexico (DD5580) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Marquette University School Of Dentistry (2001).

NPPES Registry Identity

NPI1497960561
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBONGMIN ANCredential: DDS
Location Address3211 COORS BLVD SW STE D2Albuquerque, NM 87121-5255
Mailing Address6205 Casa Blanca NwAlbuquerque, NM 87120-3280 · (541) 301-7609
Phone(505) 336-7451
Sole ProprietorYes
Medical School CMSMarquette University School Of DentistryGraduated 2001
Enumeration DateMay 11, 2007
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1497960561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD5580
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3211 COORS BLVD SW STE D2, Albuquerque, NM 87121
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Secondary Practice Location 1

Location 110621 Unser Blvd NW Ste GAlbuquerque, NM 87114-6487 · Phone (505) 588-7709 · Fax (505) 212-4119

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bongmin An Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749751311
PECOS Enrollment IDI20260604001612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI A JONES
Dental Hygienist
3211 COORS BLVD SW STE D2
ALBUQUERQUE, NM 87121
Bernalillo County (505) 336-7451
DR. PRITPAL JOHAL DMD
Dentist
3211 COORS BLVD SW STE D2
ALBUQUERQUE, NM 87121
Bernalillo County (209) 765-4246
SMILEPOINT LLC
Dentist (General Practice)
3211 COORS BLVD SW STE D2
ALBUQUERQUE, NM 87121
Bernalillo County (832) 369-6775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bongmin An's NPI number?

The NPI number for Bongmin An is 1497960561. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Bongmin An located?

Bongmin An practices at 3211 Coors Blvd SW Ste D2, Albuquerque, NM 87121. The listed phone number is (505) 336-7451.

What is Bongmin An's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bongmin An enrolled in Medicare?

Yes. Bongmin An is registered in the Medicare PECOS enrollment system.

What insurance does Bongmin An accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Bongmin An as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bongmin An was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.