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IMPERIUM DENTAL GROUP LLC
NPI 1518810191
Dentist in Albuquerque, NM

Active since February 16, 2026
10621 UNSER BLVD NW STE G, ALBUQUERQUE, NM 87114(505) 588-7709(505) 212-4119 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Imperium Dental Group Llc NPPES

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

IMPERIUM DENTAL GROUP LLC (NPI 1518810191) is a healthcare organization registered as a dentist in Albuquerque, New Mexico and active in the NPI registry since February 2026. The organization lists Bongmin An, Owner, as its authorized official.

NPPES Registry Identity

NPI1518810191
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIMPERIUM DENTAL GROUP LLC
Location Address10621 UNSER BLVD NW STE GAlbuquerque, NM 87114-6487
Mailing Address10621 Unser Blvd Nw Ste GAlbuquerque, NM 87114-6487 · (505) 588-7709 · Fax (505) 212-4119
Phone(505) 588-7709
Fax(505) 212-4119
Organization SubpartNo
Authorized OfficialBongmin AnOwner · (505) 588-7709
Enumeration DateFebruary 16, 2026
NPPES CertifiedFebruary 15, 2026
✔ NPI 1518810191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
10621 UNSER BLVD NW STE G, Albuquerque, NM 87114
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imperium Dental Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Imperium Dental Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bongmin An, DDS
Dentist
NPI 1497960561
3211 COORS BLVD SW STE D2
Albuquerque, NM 87121
(505) 336-7451
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Imperium Dental Group LLC's NPI number?

The NPI number for Imperium Dental Group LLC is 1518810191. It was assigned to this organization in the NPPES registry on February 16, 2026.

Where is Imperium Dental Group LLC located?

Imperium Dental Group LLC is located at 10621 Unser Blvd NW Ste G, Albuquerque, NM 87114. The listed phone number is (505) 588-7709.

What is Imperium Dental Group LLC's specialty?

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

Is Imperium Dental Group LLC enrolled in Medicare?

Yes. Imperium Dental Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imperium Dental Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Imperium Dental Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Imperium Dental Group LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.