NPIMap

Organization Active NPI

Honesttooth

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1891233938
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4062 Issued in NM
Legal business name
HONESTTOOTH
Practice address
4233 Montgomery NE
Suite 120W
Albuquerque, NM 87109
Phone
(505) 323-7966
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Omar Pereyra, DDS
Title
Dentist
Phone
(505) 323-7966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4062 NM Primary

Addresses

Primary practice location

4233 Montgomery NE
Suite 120W
Albuquerque, NM 87109

Mailing address

4233 Montgomery Blvd NE
Suite 120W
Albuquerque, NM 87109-6749
Phone (505) 323-7966

National Provider Directory

National Provider Directory
Tax ID family
Honest Tooth Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4233 Montgomery Blvd NE
Ste 120W
Albuquerque, NM 87109
Phone (505) 323-7966

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1891233938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY BLVD NE",
            "address_2": "SUITE 120W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096749",
            "telephone_number": "505-323-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY NE",
            "address_2": "SUITE 120W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-323-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONESTTOOTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "PEREYRA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-323-7966",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 9, 2017; 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.