NPIMap

Organization Active NPI

DRS. Gormley and Gutierrez Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Las Cruces, NM
National Provider Identifier
1841331311
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY, PC
Practice address
2701 Missouri Ave Ste C
Las Cruces, NM 88011-5091
Phone
(505) 522-8229
Fax
(505) 522-8123
NPI assigned
Feb 9, 2007
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Karen Z. Gutierrez, D.D.S.NPI 1942668553
Title
Owner
Phone
(575) 522-8229

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

2701 Missouri Ave Ste C
Las Cruces, NM 88011-5091

Mailing address

2701 Missouri Ave Ste C
Las Cruces, NM 88011-5091
Phone (505) 522-8229

Other names 1

  • Drs. Coniff & Gormley Pediatric Dentistry, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

2701 Missouri Ave
Ste C
Las Cruces, NM 88011
Phone (505) 522-8229

Practitioners & affiliated clinicians

Practitioners 3

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1841331311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MISSOURI AVE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "505-522-8229",
            "fax_number": "505-522-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MISSOURI AVE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "505-522-8229",
            "fax_number": "505-522-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GORMLEY AND GUTIERREZ PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-8229",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Coniff & Gormley Pediatric Dentistry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 17, 2024; 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.