Individual provider Active NPI

David C Collette, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
National Provider Identifier
1033369749
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DD3903 Issued in NM
Practice address
8310 Palomas Ave NE Ste B
Albuquerque, NM 87109-5286
Phone
(505) 294-6009
Fax
(505) 293-9461
NPI assigned
Sep 30, 2008
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DD3903 NM Primary

Addresses

Primary practice location

8310 Palomas Ave NE Ste B
Albuquerque, NM 87109-5286

Mailing address

10020 Irbid Rd NE
Albuquerque, NM 87122-3333
Phone (216) 650-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DD3903NMMDOral and Maxillofacial Surgery (Dentist)

Networks

  • CO HMO D-SNP
  • CO HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: dcollette7434@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1033369749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 IRBID RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223333",
            "telephone_number": "216-650-7500",
            "fax_number": "505-293-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 PALOMAS AVE NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095286",
            "telephone_number": "505-294-6009",
            "fax_number": "505-293-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.