NPIMap

Organization Active NPI

University of New Mexico Dental Services

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1841484763
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD2136 Issued in NM
Legal business name
UNIVERSITY OF NEW MEXICO DENTAL SERVICES
Practice address
1801 Camino de Salud NE
Suite 1200
Albuquerque, NM 87102-0001
Phone
(505) 925-7797
Fax
(505) 925-7800
NPI assigned
Sep 4, 2007
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Gary Cuttrell, D.D.S., J.D.NPI 1720085749
Title
Chief Assistant Professor
Phone
(505) 925-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD2136 NM Primary

Addresses

Primary practice location

1801 Camino de Salud NE
Suite 1200
Albuquerque, NM 87102-0001

Mailing address

1801 Camino de Salud NE
Suite 1200
Albuquerque, NM 87102-0001
Phone (505) 925-7797

Other identifiers 1

IdentifierTypeStateIssuer
28601831MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
University of New Mexico Dental Services17 organizations share this tax ID, including this one
Part of
University of New Mexico Dental Services

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1801 Camino de Salud NE
Ste 1200
Albuquerque, NM 87102
Phone (505) 925-7797

Practitioners & affiliated clinicians

Practitioners 2

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1841484763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CAMINO DE SALUD NE",
            "address_2": "SUITE 1200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871020001",
            "telephone_number": "505-925-7797",
            "fax_number": "505-925-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CAMINO DE SALUD NE",
            "address_2": "SUITE 1200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871020001",
            "telephone_number": "505-925-7797",
            "fax_number": "505-925-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NEW MEXICO DENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXICO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "CUTTRELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "505-925-7797",
        "authorized_official_credential": "D.D.S., J.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28601831",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.