NPIMap

Organization Active NPI

Michael Cito DDS LLC

  • Pediatric Dentistry
  • Albuquerque, NM
National Provider Identifier
1437223179
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DD1194 Issued in NM
Legal business name
MICHAEL CITO DDS LLC
Practice address
3900 Eubank NE
Ste 2
Albuquerque, NM 87111
Phone
(505) 298-5522
Fax
(505) 291-0653
NPI assigned
Nov 17, 2006
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHAEL CITO DDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Dr. Stephen Michael Cito Jr., DDS
Title
Owner/Operator
Phone
(505) 298-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DD1194 NM Primary

Addresses

Primary practice location

3900 Eubank NE
Ste 2
Albuquerque, NM 87111

Mailing address

3900 Eubank NE
Ste 2
Albuquerque, NM 87111
Phone (505) 298-5522

Other practice location 1

828 Highway 60
Socorro, NM 87801-3919
Phone (575) 838-3912

Other identifiers 5

IdentifierTypeStateIssuer
000080432MedicaidNM
0003121OtherDORAL DENTAL
95608001MedicaidNM
467569OtherUNITED CONCORDIA
50603736MedicaidNM

National Provider Directory

National Provider Directory
Part of
Michael Cito DDS LLC

Locations

3900 Eubank Blvd NE
Ste 2
Albuquerque, NM 87111
Phone (505) 298-5522

828 Highway 60
Socorro, NM 87801
Phone (505) 835-1851

Practitioners & affiliated clinicians

Practitioners 3

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1437223179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 EUBANK NE",
            "address_2": "STE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-298-5522",
            "fax_number": "505-291-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 EUBANK NE",
            "address_2": "STE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-298-5522",
            "fax_number": "505-291-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Highway 60",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "NM",
            "postal_code": "878013919",
            "country_code": "US",
            "telephone_number": "575-838-3912",
            "fax_number": "575-838-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL CITO DDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL CITO DDS, LLC",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "CITO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-298-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "DD1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000080432",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "0003121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95608001",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "467569",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50603736",
            "state": "NM"
        }
    ],
    "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 Jan 19, 2023; 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.