Active NPI
Gutierrez Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Cruces, NM
National Provider Identifier
1689345258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- GUTIERREZ ORTHODONTICS
- Practice address
- 4420 Sonoma Ranch Blvd
Suite a
Las Cruces, NM 88011-8801 - Phone
- (650) 477-4101
- NPI assigned
- Sep 23, 2021
- 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
- Dr. Luis Gutierrez Pulido, DDS
- Title
- Orthodontist
- Phone
- (650) 477-4101
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
4420 Sonoma Ranch Blvd
Suite a
Las Cruces, NM 88011-8801
Mailing address
4041 Demos Ave
Las Cruces, NM 88011-4210
Phone (650) 477-4101
National Provider Directory
National Provider DirectoryLocations
4420 N Sonoma Ranch Blvd
Ste A
Las Cruces, NM 88011
Phone (650) 477-4101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Deming, NM
- NPI 1194143222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632355200000",
"number": "1689345258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 DEMOS AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114210",
"telephone_number": "650-477-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 SONOMA RANCH BLVD",
"address_2": "SUITE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118801",
"telephone_number": "650-477-4101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUTIERREZ ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "GUTIERREZ PULIDO",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "650-477-4101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.