NPIMap

Organization Active NPI

High Mesa Dental Arts

  • Dentist
  • Los Alamos, NM
National Provider Identifier
1518163583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HIGH MESA DENTAL ARTS
Practice address
106A Longview Drive
Los Alamos, NM 87544-3738
Phone
(505) 672-1336
Fax
(505) 672-0840
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura D Heisch, DDSNPI 1083605729
Title
Dentist
Phone
(505) 672-1336

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

106A Longview Drive
Los Alamos, NM 87544-3738

Mailing address

106A Longview Drive
Los Alamos, NM 87544-3738
Phone (505) 672-1336

Other identifiers 1

IdentifierTypeStateIssuer
R9365MedicaidNM

Other names 1

  • Roger C Gartz DDS PA Former legal business name

National Provider Directory

National Provider Directory

Locations

106 Longview Dr
Ste A
White Rock, NM 87547
Phone (505) 672-1336

Practitioners & affiliated clinicians

Practitioners 4

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518163583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106A LONGVIEW DRIVE",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443738",
            "telephone_number": "505-672-1336",
            "fax_number": "505-672-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106A LONGVIEW DRIVE",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443738",
            "telephone_number": "505-672-1336",
            "fax_number": "505-672-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH MESA DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEISCH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-672-1336",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R9365",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger C Gartz DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.