DDS Catalyst Farmington, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DDS CATALYST FARMINGTON, LLC

Practice address

3501 N Butler Ave Ste 104
Farmington, NM 87401-6430

Phone

(505) 564-4470

Fax

(505) 325-9707

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Andrew Ashby, DMD

Title

Owner

Phone

(303) 810-2890

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629596705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N BUTLER AVE STE 104",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016430",
            "telephone_number": "505-564-4470",
            "fax_number": "505-325-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N BUTLER AVE STE 104",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016430",
            "telephone_number": "505-564-4470",
            "fax_number": "505-325-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDS CATALYST FARMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-810-2890",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.