Michael H Mortaji, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD1970 Issued in NM

Practice address

3301 Coors Blvd NW
Suite I
Albuquerque, NM 87120-1229

Phone

(505) 839-3703

Fax

(505) 839-3704

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A to Z Children'S Dentistry - Westside, LLC

  • Pediatric Dentistry
  • Albuquerque, NM
  • NPI 1982264545
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083834543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 COORS BLVD NW",
            "address_2": "SUITE I",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201229",
            "telephone_number": "505-839-3703",
            "fax_number": "505-839-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COORS BLVD NW",
            "address_2": "SUITE I",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201229",
            "telephone_number": "505-839-3703",
            "fax_number": "505-839-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTAJI",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Anne Morrow, LPCC
• Rachel Anne Morsbach
• Michael P Morse, LMFT
• Susan B Morse, PH.D.
• Amanda Lynn Morsette, MA, CSW
• Donna Mortellaro, OT
• Julene Ellen Mortensen, CPNP-PC
• Lesley Joan Mortimer, CNP
• Hunter Lee Mortley, D.D.S.
• Anne Kendrick Morton, LMHC

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.