DR. TIMOTHY L GUTIERREZ SR. (NPI# 1275613788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275613788 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY L GUTIERREZ SR. |
| Credential | DMD |
| Practice Address |
1513 Carlisle Blvd Ne Albuquerque NM 87110 |
| Practice Telephone | 5058817373 |
| Practice Fax Number | 5058815096 |
| Mailing Telephone | 5058817373 |
| Mailing Fax Number | 5058815096 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1556 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 88906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306369624 | Timothy Lee Gutierrez Jr. | Dentist | 1800 Vine St, Denver, CO 80206-1122 | 2017-07-18 |
| 1760741359 | Timothy Gutierrez | Surgery | 2405 W Missouri Ave, Midland, TX 79701-6800 | 2012-05-16 |
| 1588862015 | Timothy Aaron Gutierrez | Dentist | 21703 Kingsland Blvd, #104, Katy, TX 77450-2520 | 2007-07-05 |
| Street Address |
1513 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070911 | Timothy L Gutierrez Dmd Pa | Dentist | 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629460951 | Mark Conover | Dentist | 7050 Barstow St Ne, Albuquerque, NM 87111-1056 | 2015-02-24 |
| 1265671770 | Sandia Oral Surgery and Dental Implant Center | Dentist | 7009 Montgomery Blvd. Ne, Albuquerque, NM 87109 | 2009-02-08 |
| 1598929242 | West Mesa Oral and Maxillofacial Surgery PC | Dentist | 4801 Mcmahon Blvd Nw Ste 230, Albuquerque, NM 87114-5478 | 2008-07-11 |
| 1013179530 | Joyce Ann Jeffries | Dentist | 9674 Eagle Ranch Rd Nw, Suite 1, Albuquerque, NM 87114-1580 | 2008-06-26 |
| 1457527368 | Southwest Oral & Maxillofacial Surgery | Dentist | 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 | 2008-05-01 |
| 1447324280 | David Eric Tuggle | Dentist | 7009 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2006-11-20 |
| 1104930288 | Jeffery Bryan Wheaton | Dentist | 1628 Alameda Blvd Nw, Albuquerque, NM 87114 | 2006-08-18 |
| 1063470904 | James D Crine II | Dentist | 4550 Eubank Ne Ste #103, Albuquerque, NM 87111 | 2006-05-02 |
| 1750359618 | Lionel Michael Candelaria | Dentist | 6800 Montgomery Blvd Ne Ste A, Albuquerque, NM 87109-1425 | 2006-03-08 |
| 1346217775 | John Compton Mitchell | Dentist | 6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405 | 2006-03-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.