NPIMap

Organization Active NPI

Colin Forde DDS PC

Doing business as Family & Cosmetic Dental Design

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1275965568
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3583 Issued in NM
Legal business name
COLIN FORDE DDS PC
Doing business as
Family & Cosmetic Dental Design
Practice address
7520 Montgomery Blvd NE Ste C
Albuquerque, NM 87109-1521
Phone
(505) 883-3722
Fax
(505) 884-1479
NPI assigned
Aug 8, 2013
Last updated
Nov 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Colin A Forde, DDSNPI 1700191533
Title
General Dentist
Phone
(505) 883-3722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD3583 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE Ste C
Albuquerque, NM 87109-1521

Mailing address

7520 Montgomery Blvd NE Ste C
Albuquerque, NM 87109-1521
Phone (505) 883-3722

Other names 1

  • Family & Cosmetic Dental Design Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Smile Design2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7520 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109
Phone (505) 883-3722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1275965568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-883-3722",
            "fax_number": "505-884-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-883-3722",
            "fax_number": "505-884-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN FORDE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "505-883-3722",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Cosmetic Dental Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 7, 2014; 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.