Organization Active NPI

Gutierrez Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Cruces, NM
National Provider Identifier
1689345258
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Dr. Luis Gutierrez Pulido, DDSNPI 1194143222
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.