DR. RONALD EDWARD PRENZEL DMD
NPI 1548222730
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Active since April 04, 2006Opted out of Medicare · through Jan 22, 2027
5800 LOMAS BLVD NE, ALBUQUERQUE, NM 87110(505) 268-6388 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 25, 2023, Dec 21, 2020 (2 updates tracked since 2020).

About Dr. Ronald Edward Prenzel Dmd NPPES

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

DR. RONALD EDWARD PRENZEL DMD (NPI 1548222730) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in New Mexico (DD5435) and active in the NPI registry since April 2006. He has opted out of Medicare through January 22, 2027.

NPPES Registry Identity

NPI1548222730
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RONALD EDWARD PRENZELCredential: DMD
Location Address5800 LOMAS BLVD NEAlbuquerque, NM 87110-6539
Mailing Address130 Montecillo Blvd Apt 1214El Paso, TX 79912-4934 · (915) 487-6023
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1548222730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NM · DD5435 Licensed in NY · 055981 Licensed in KS · 60516 Licensed in TX · 36927
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5800 LOMAS BLVD NE, Albuquerque, NM 87110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ronald Edward Prenzel Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2025 through January 22, 2027.

Opt-Out Effective DateJanuary 22, 2025
Opt-Out In Effect ThroughJanuary 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Dentist
5800 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Dentist (General Practice)
5800 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Dentist (General Practice)
5800 LOMAS BLVD NE
ALBUQUERQUE, NM 87110
Dental Hygienist
5800 LOMAS BLVD NE
ALBUQUERQUE, NM 87110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548222730, enumerated as an "individual" on April 04, 2006.

The provider is located at 5800 LOMAS BLVD NE ALBUQUERQUE, NM 87110 and the phone number is (505) 268-6388.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.