Organization Active NPI

Cottonwood Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
National Provider Identifier
1164694287
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DD1985 Issued in NM
Legal business name
COTTONWOOD ORTHODONTICS, PC
Practice address
3730 Ellison Rd NW
Suite B
Albuquerque, NM 87114-7009
Phone
(505) 766-4800
Fax
(505) 898-5270
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Carlos Torrebiarte, DDSNPI 1124096995
Title
Orthodontist
Phone
(505) 766-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD1985 NM Primary

Addresses

Primary practice location

3730 Ellison Rd NW
Suite B
Albuquerque, NM 87114-7009

Mailing address

3730 Ellison Rd NW
Suite B
Albuquerque, NM 87114-7009
Phone (505) 766-4800

Other identifiers 2

IdentifierTypeStateIssuer
1124096995OtherNMINDIVIDUAL NPI FOR DOCTOR
0009084MedicaidNM

National Provider Directory

National Provider Directory

Locations

3730 Ellison Rd NW
Ste B
Albuquerque, NM 87114
Phone (505) 766-4800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1164694287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 ELLISON RD NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871147009",
            "telephone_number": "505-766-4800",
            "fax_number": "505-898-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 ELLISON RD NW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871147009",
            "telephone_number": "505-766-4800",
            "fax_number": "505-898-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "TORREBIARTE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "505-766-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD1985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR DOCTOR",
            "identifier": "1124096995",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009084",
            "state": "NM"
        }
    ],
    "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 Mar 28, 2008; 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.