Individual provider Active NPI

Tamera Page Coffman, DDS

  • Pediatric Dentistry
  • Albuquerque, NM
National Provider Identifier
1447577739
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DD3276 Issued in NM
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90574371MedicaidNM

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

LicenseStateTypeSpecialty
DD3279NMMDGeneral Practice Dentistry
DD3276NMMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.