Individual provider Active NPI

Eric Coontz, DDS DENTISTRY

  • Dentist
  • Zuni, NM
National Provider Identifier
1194786863
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
62802MedicaidNM

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

LicenseStateTypeSpecialty
019017063ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.