Pueblo de Cochiti

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PUEBLO DE COCHITI

Practice address

255 Cochiti St
Cochiti Pueblo, NM 87072-9998

Phone

(505) 465-2244

Fax

(505) 465-1135

NPI assigned

Aug 3, 2009

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Quintana

Title

Governor

Phone

(505) 465-2244

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1184855504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 COCHITI ST",
            "city": "COCHITI PUEBLO",
            "state": "NM",
            "postal_code": "870729998",
            "telephone_number": "505-465-2244",
            "fax_number": "505-465-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 COCHITI ST",
            "city": "COCHITI PUEBLO",
            "state": "NM",
            "postal_code": "870729998",
            "telephone_number": "505-465-2244",
            "fax_number": "505-465-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO DE COCHITI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "505-465-2244"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cochiti Health Clinic
• Cochiti IHS Pharmacy

• Dental Clinic/Center in Cochiti Pueblo, NM
• Providers in Cochiti Pueblo, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.