Timothy L Gutierrez DMD PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1556 Issued in NM

Legal business name

TIMOTHY L GUTIERREZ DMD PA

Practice address

1513 Carlisle Blvd NE
Albuquerque, NM 87110

Phone

(505) 881-7373

Fax

(505) 881-5096

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Lee Gutierrez Sr., DMDNPI 1275613788

Title

Oral Maxillofacial Surgeon

Phone

(505) 881-7373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy L Gutierrez Sr., DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1275613788
  NPD (past) Authorized official
• Ryan Todd Sterk, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1497100341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013070911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-881-7373",
            "fax_number": "505-881-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-881-7373",
            "fax_number": "505-881-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L GUTIERREZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ORAL MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "505-881-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88906",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Lee Timmcke, M.A
• Claudia Timmons, CFAS, CCJAS, CDVC
• David Timmons, DNP, APRN, CRNA, RN
• Savannah Timms
• Timothy E. Hansen, D.O., P.a.
• Timothy M. Kelly, DMD, PA
• Elyse Nicole Timothy, SLP
• Ashley Elizabeth Tindel, PHARMD
• Jonathan P Ting, RDH
• Benjamin Todd Tingey, DMD

• Oral and Maxillofacial Surgery (Dentist) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.