NPIMap

Organization Active NPI

Nazario N. Young-Trujillo, DDS, Inc

Doing business as High Country Dental

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1457521957
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD2754 Issued in CA
Legal business name
NAZARIO N. YOUNG-TRUJILLO, DDS, INC
Doing business as
High Country Dental
Practice address
10820 Comanche Rd NE
Suite D
Albuquerque, NM 87111-3983
Phone
(505) 323-7700
NPI assigned
Mar 11, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Nazario N Young-Trujillo, DDSNPI 1073695961
Title
President
Phone
(505) 323-7700

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 DD2754 CA Primary

Addresses

Primary practice location

10820 Comanche Rd NE
Suite D
Albuquerque, NM 87111-3983

Mailing address

10820 Comanche Rd NE
Albuquerque, NM 87111-3983

Other names 1

  • HIGH COUNTRY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

10820 Comanche Rd NE
Albuquerque, NM 87111
Phone (505) 296-9911

10820 Comanche Rd NE
Ste D
Albuquerque, NM 87111
Phone (505) 323-7700

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1457521957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "505-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARIO N. YOUNG-TRUJILLO, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG-TRUJILLO",
        "authorized_official_first_name": "NAZARIO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-323-7700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DD2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH COUNTRY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2008; 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.