Active NPI
Just for Kids Dental
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1265529655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JUST FOR KIDS DENTAL
- Practice address
- 3301 Coors Rd NW
Suite 1
Albuquerque, NM 87120 - Phone
- (505) 839-3703
- Fax
- (505) 839-3704
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael H Mortaji, DDS
- Title
- Dentist
- Phone
- (505) 839-3703
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X |
Addresses
Primary practice location
3301 Coors Rd NW
Suite 1
Albuquerque, NM 87120
Mailing address
3301 Coors Rd NW
Suite 1
Albuquerque, NM 87120
Phone (505) 839-3703
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1265529655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 COORS RD NW",
"address_2": "SUITE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-839-3703",
"fax_number": "505-839-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COORS RD NW",
"address_2": "SUITE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-839-3703",
"fax_number": "505-839-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST FOR KIDS DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MORTAJI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "505-839-3703",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.