Reuben G Gutierrez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD 1238 Issued in NM

Practice address

8400 Osuna Rd NE
Suite 1B
Albuquerque, NM 87111-2087

Phone

(505) 293-3311

Fax

(505) 293-9847

NPI assigned

Nov 6, 2006

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)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114096245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 1B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-293-3311",
            "fax_number": "505-293-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 1B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-293-3311",
            "fax_number": "505-293-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "REUBEN",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD 1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Gutierrez, RN CDE
• Pamela Ann Gutierrez, LADAC
• Priscilla Marie Gutierrez, M.S., LMHC
• Rachel Gutierrez
• Randy Gutierrez
• Roselle Julie Gutierrez, NP
• Samantha Gutierrez
• Sandra P Gutierrez, DNP
• Shanna Dominica Gutierrez, LTC HOME CARE, LLC
• Theresa A Gutierrez, CFNP

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry 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.