NPIMap

Organization Active NPI

Craniofacial Sleep Medicine and TMJ of New Mexico, LLC

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1891372389
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC
Practice address
8311 San Pedro Dr NE Ste 3
Albuquerque, NM 87113-2540
Phone
(505) 433-2107
Fax
(505) 508-2674
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Eric J Coontz, DDS,MSNPI 1194786863
Title
Owner/Operator
Phone
(505) 433-2107

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8311 San Pedro Dr NE Ste 3
Albuquerque, NM 87113-2540

Mailing address

8311 San Pedro Dr NE Ste 3
Albuquerque, NM 87113-2540
Phone (505) 433-2107

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address eric.coontz@protonmail.com Health Information Exchange (HIE)
Other URL eric.coontz@protonmail.com Health Information Exchange (HIE)
CONNECT URL www.abqsleeptmj.com Direct

National Provider Directory

National Provider Directory
Tax ID family
CC PT LLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1891372389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 SAN PEDRO DR NE STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132540",
            "telephone_number": "505-433-2107",
            "fax_number": "505-508-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 SAN PEDRO DR NE STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132540",
            "telephone_number": "505-433-2107",
            "fax_number": "505-508-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "COONTZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-433-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.coontz@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8311 San Pedro Dr NE Ste 3",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871132540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eric.coontz@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8311 San Pedro Dr NE Ste 3",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871132540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.abqsleeptmj.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "8311 San Pedro Dr NE Ste 3",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871132540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 1, 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.