Valer Dental Coors, LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

03407927000 Issued in NM

Legal business name

VALER DENTAL COORS, LLC

Practice address

1514 Coors Blvd NW
Albuquerque, NM 87121-1152

Phone

(216) 904-2805

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Marshall King

Title

HR & Finance Director

Phone

(505) 263-8690

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1144701103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 HINKLE ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024930",
            "telephone_number": "121-690-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871211152",
            "telephone_number": "216-904-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALER DENTAL COORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "HR & FINANCE DIRECTOR",
        "authorized_official_telephone_number": "505-263-8690"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "NM",
            "license": "03407927000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Enrique Valenzuela, COTA/L
• Robert T Valenzuela, MD
• Theresa Ann Valenzuela
• Thomas Valenzuela, LMHC
• Valer 120 Eubank, LLC
• Destiny Valeriano
• Francesco Valeriano
• Matthew Valeriano, MD
• Arthur Vall-Spinosa, M.D.
• Monique Karen Vallabhan, CFNP

• Public Health Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Public Health Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.