Active NPI
Tamera Page Coffman, DDS
- Pediatric Dentistry
- Albuquerque, NM
National Provider Identifier
1447577739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DD3276
- Practice address
- 8220 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2105 - Phone
- (505) 433-3366
- Fax
- (505) 369-1828
- NPI assigned
- Apr 26, 2010
- Last updated
- Jan 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD3279 | NM | |
| Pediatric Dentistry | 1223P0221X | DD3276 | NM | Primary |
Addresses
Primary practice location
8220 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2105
Mailing address
8220 Louisiana Blvd NE Ste a
Albuquerque, NM 87113-2121
Phone (505) 433-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90574371 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3279 | NM | MD | General Practice Dentistry |
| DD3276 | NM | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke City Pediatric Dentistry | Pediatric Dentistry | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
8220 Louisiana Blvd NE
Ste A
Albuquerque, NM 87113
Phone (303) 868-6117
Interoperability endpoints
- tcoffman7421@ahs.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Albuquerque, NM
- NPI 1518216746
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1447577739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 LOUISIANA BLVD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132121",
"telephone_number": "505-433-3366",
"fax_number": "505-369-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 LOUISIANA BLVD NE",
"address_2": "SUITE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132105",
"telephone_number": "505-433-3366",
"fax_number": "505-369-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "TAMERA",
"middle_name": "PAGE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD3279",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NM",
"license": "DD3276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90574371",
"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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.