Active NPI
Eric Coontz, DDS DENTISTRY
- Dentist
- Zuni, NM
National Provider Identifier
1194786863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- US DHHS Indian Health Service
Route 301 North B Street
Zuni, NM 87327-0467 - Phone
- (505) 782-4431
- Fax
- (505) 782-7327
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
US DHHS Indian Health Service
Route 301 North B Street
Zuni, NM 87327-0467
Mailing address
PO Box 467
Zuni, NM 87327-0467
Phone (505) 782-4431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62802 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019017063 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craniofacial Sleep Medicine and TMJ of New Mexico, LLC | Current | Accepting new patients | |
| C&C PT LLC | Current | Accepting new patients |
Locations
8311 San Pedro Dr NE
Ste 3
Albuquerque, NM 87113
Phone (505) 433-2107
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1891372389
-
- Behavior Analyst
- Miami, FL
- NPI 1750177929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194786863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 467",
"city": "ZUNI",
"state": "NM",
"postal_code": "873270467",
"telephone_number": "505-782-4431",
"fax_number": "505-782-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US DHHS INDIAN HEALTH SERVICE",
"address_2": "ROUTE 301 NORTH B STREET",
"city": "ZUNI",
"state": "NM",
"postal_code": "873270467",
"telephone_number": "505-782-4431",
"fax_number": "505-782-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONTZ",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DDS DENTISTRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62802",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zuni, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.