Luis D Gutierrez Pulido, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DD5070 Issued in NM

Practice address

1310 E Pine St Ste B
Deming, NM 88030-7003

Phone

(575) 329-0840

NPI assigned

Apr 5, 2014

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gutierrez Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Cruces, NM
  • NPI 1689345258
  NPD Authorized official
• East 22ND Street Dental, P.C.

  dba Dorsett Dentistry

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1396832994
  NPD (past)
• Tremont Road Dental Super, P.C.

  dba Pine Dentistry

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1366539959
  NPD (past)

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1194143222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 DEMOS AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114210",
            "telephone_number": "650-477-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E PINE ST STE B",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880307003",
            "telephone_number": "575-329-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857134705",
            "country_code": "US",
            "telephone_number": "650-477-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ PULIDO",
        "first_name": "LUIS",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00202164",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "9414",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Joy Gonzales-Ramos, LMSW
• Jonathan Ryan Gonzales
• Alba Cindy Gonzalez
• John Lynn Gordon, DDS
• Cheryl Granillo, CNP
• Angie Le'Alice Hagan, CPM, CNP
• Alonni Rae Harrell
• Ryan Edward Harrington
• Renee Christine Heacox-Winborn, LISW
• Naomi Marisol Herrera

• Orthodontics and Dentofacial Orthopedics Dentistry in Deming, NM
• Providers in Deming, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.