NPIMap

Organization Active NPI

Ortiz & Moss Dental Associates, P.C

  • General Practice Dentistry
  • Los Alamos, NM
National Provider Identifier
1366538571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1700 Issued in NM
Legal business name
ORTIZ & MOSS DENTAL ASSOCIATES, P.C
Practice address
2101 Trinity Dr Ste P
Los Alamos, NM 87544-4103
Phone
(505) 662-2426
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nereida Ortiz, D.D.SNPI 1174658934
Title
Corp. President
Phone
(505) 662-2426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1700 NM Primary

Addresses

Primary practice location

2101 Trinity Dr Ste P
Los Alamos, NM 87544-4103

Mailing address

2101 Trinity Dr Ste P
Los Alamos, NM 87544-4103
Phone (505) 662-2426

National Provider Directory

National Provider Directory

Locations

2101 Trinity Dr
Ste P
Los Alamos, NM 87544
Phone (505) 428-7878

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366538571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 TRINITY DR STE P",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444103",
            "telephone_number": "505-662-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TRINITY DR STE P",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444103",
            "telephone_number": "505-662-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTIZ & MOSS DENTAL ASSOCIATES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "NEREIDA",
        "authorized_official_title_or_position": "CORP. PRESIDENT",
        "authorized_official_telephone_number": "505-662-2426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.