Active NPI
Comfortable Dentistry 4U - Cottonwood, LLC
- Dentist
- Albuquerque, NM
National Provider Identifier
1457959934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- Dentist
- Alburquerque, NM
- NPI 1386739340
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.