Organization Active NPI

Center for TMJ & Sleep Dentistry LLC

  • Dentist
  • Las Cruces, NM
National Provider Identifier
1366876419
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CENTER FOR TMJ & SLEEP DENTISTRY LLC
Practice address
1423 S Don Roser Dr
Las Cruces, NM 88011-4515
Phone
(575) 541-0072
Fax
(575) 541-1908
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mrs. Eileen Rae Ambriz
Title
Clinic Adminstrator
Phone
(575) 541-0072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NM Primary
Durable Medical Equipment & Medical Supplies 332B00000X NM2601 NM

Addresses

Primary practice location

1423 S Don Roser Dr
Las Cruces, NM 88011-4515

Mailing address

1423 S Don Roser Dr
Las Cruces, NM 88011-4515
Phone (575) 541-0072

National Provider Directory

National Provider Directory

Locations

1423 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 323-3667

Practitioners & affiliated clinicians

Practitioners 1

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": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1366876419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114515",
            "telephone_number": "575-541-0072",
            "fax_number": "575-541-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114515",
            "telephone_number": "575-541-0072",
            "fax_number": "575-541-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TMJ & SLEEP DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "AMBRIZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CLINIC ADMINSTRATOR",
        "authorized_official_telephone_number": "575-541-0072",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "NM2601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.