Organization Active NPI

Comfortable Dentistry 4U - Cottonwood, LLC

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1457959934
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMFORTABLE DENTISTRY 4U - COTTONWOOD, LLC
Practice address
3613 NM 528 NW Ste D
Albuquerque, NM 87114-8918
Phone
(505) 899-7645
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Mr. Robert H Moss, JD
Title
Ceo
Phone
(505) 610-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3613 NM 528 NW Ste D
Albuquerque, NM 87114-8918

Mailing address

3613 NM 528 NW Ste D
Albuquerque, NM 87114-8918
Phone (505) 899-7645

National Provider Directory

National Provider Directory

Locations

3613 State Highway 528 NW
Ste D
Los Rnchs Abq, NM 87114
Phone (505) 899-7645

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": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1457959934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NM 528 NW STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148918",
            "telephone_number": "505-899-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NM 528 NW STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148918",
            "telephone_number": "505-899-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTABLE DENTISTRY 4U - COTTONWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-610-4531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2020; 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.