Organization Active NPI

Marty Armijo DDS PC

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1487253522
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARTY ARMIJO DDS PC
Practice address
6100 Coors Blvd NW Ste K6
Albuquerque, NM 87120-2776
Phone
(505) 897-7740
NPI assigned
Oct 20, 2020
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MARTY ARMIJO DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Marty Armijo, DDSNPI 1912047523
Title
Owner
Phone
(505) 897-7740

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6100 Coors Blvd NW Ste K6
Albuquerque, NM 87120-2776

Mailing address

6100 Coors Blvd NW Ste K6
Albuquerque, NM 87120-2776
Phone (505) 897-7740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Patterson Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Marty Armijo DDS PC

Practitioners & affiliated clinicians

Practitioners 1

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": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1487253522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 COORS BLVD NW STE K6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202776",
            "telephone_number": "505-897-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 COORS BLVD NW STE K6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202776",
            "telephone_number": "505-897-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY ARMIJO DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTY ARMIJO DDS PC",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "ARMIJO",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-897-7740",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Patterson",
            "affiliation": "N",
            "endpointDescription": "Eaglesoft Patterson Dental",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6100 Coors Blvd NW Ste K6",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871202776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 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.