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ROBERT C SUPPLE DMD
NPI 1710993100
Dentist - General Practice in Albuquerque, NM

Active since July 31, 2006PECOS Enrolled
8401 OSUNA RD NE, SUITE C, ALBUQUERQUE, NM 87111(505) 294-8869(505) 292-2071 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert C Supple Dmd NPPES

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

ROBERT C SUPPLE DMD (NPI 1710993100) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (1365) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710993100
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameROBERT C SUPPLECredential: DMD
Location Address8401 OSUNA RD NE, SUITE CAlbuquerque, NM 87111-2074
Mailing Address8401 Osuna Rd Ne, Suite CAlbuquerque, NM 87111-2074 · (505) 294-8869 · Fax (505) 292-2071
Phone(505) 294-8869
Fax(505) 292-2071
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710993100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 1365
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8401 OSUNA RD NE, Albuquerque, NM 87111
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Other Identifiers 1

Medicare UPINU01268NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert C Supple Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 87111 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 5

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

THOMAS D BAIAMONTE DMD, MS
Dentist (General Practice)
8401 OSUNA RD NE, SUITE C
ALBUQUERQUE, NM 87111
Bernalillo County (505) 294-8869
DR. JONATHAN BOWERS DMD
Dentist (General Practice)
8401 OSUNA RD NE, SUITE E
ALBUQUERQUE, NM 87111
Bernalillo County (505) 884-6408
DR. FELICIA MARTINEZ DDS
Dentist (General Practice)
8401 OSUNA RD NE
ALBUQUERQUE, NM 87111
Bernalillo County (505) 294-8869
MODERN DENTAL PROFESSIONALS NEW MEXICO PC
Dentist (General Practice)
8401 OSUNA RD NE, SUITE B
ALBUQUERQUE, NM 87111
Bernalillo County (505) 332-3544
BOWERS AND OKI FAMILY DENTISTRY, PC
Dentist (General Practice)
8401 OSUNA RD NE, SUITE E
ALBUQUERQUE, NM 87111
Bernalillo County (505) 884-6408

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 Robert Supple's NPI number?

The NPI number for Robert Supple is 1710993100. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Robert Supple located?

Robert Supple practices at 8401 Osuna Rd NE Suite C, Albuquerque, NM 87111. The listed phone number is (505) 294-8869.

What is Robert Supple's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Robert Supple enrolled in Medicare?

Yes. Robert Supple is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Supple was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.