DR. STACEY M REISS (NPI# 1558748434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558748434 |
| Entity Type | Individual |
| Full Name | DR. STACEY M REISS |
| Credential | DDS, MDENTSC |
| Practice Address |
2800 Coors Blvd Nw Ste A Albuquerque NM 87120-1204 |
| Mailing Address |
5110 Eakes Rd Nw Los Ranchos NM 87107-5538 |
| Practice Telephone | 5053521166 |
| Mailing Telephone | 2032471456 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DD4909 | NM | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6230 Paseo Del Norte Ne Ste B, Albuquerque, NM 871132568 | 5052443000 | |
| 950 Unser Blvd Se Ste 100, Rio Rancho, NM 871246376 | 5058922900 | |
| 470 Highway 528 Ste A, Bernalillo, NM 870046603 | 5058677444 |
| Street Address |
2800 COORS BLVD NW STE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164707808 | Sasan Ghaffarigarakani | Dentist | 2800 Coors Blvd Nw Ste A, Albuquerque, NM 87120-1204 | 2011-10-13 |
| 1063940237 | John Steffensen | Dentist | 2800 Coors Blvd Nw Ste A, Albuquerque, NM 87120-1204 | 2017-05-31 |
| 1053849893 | Tram M Huynh | Dentist | 2800 Coors Blvd Nw Ste A, Albuquerque, NM 87120-1204 | 2017-05-24 |
| 1013390087 | Crds | Dentist | 2800 Coors Blvd Nw Ste A, Albuquerque, NM 87120-1204 | 2015-07-08 |
| 1588912281 | Shelly Verma | Dentist | 2800 Coors Blvd Nw Ste A, Albuquerque, NM 87120-1204 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215339270 | Thomas Dunn | Dentist | 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 | 2014-09-22 |
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| 1154565851 | Dana M Casaus | Dentist | 5910 Cubero Dr Ne, Suite D, Albuquerque, NM 87109-3842 | 2009-04-24 |
| 1164694287 | Cottonwood Orthodontics, PC | Dentist | 3730 Ellison Rd Nw, Suite B, Albuquerque, NM 87114-7009 | 2008-03-28 |
| 1144423211 | Jack R Ray | Dentist | 4504 4th St Nw, Albuquerque, NM 87107 | 2007-06-07 |
| 1396957460 | Randy Gail Alkire | Dentist | 12000 Holly Ave Ne, Albuquerque, NM 87122-1260 | 2007-05-03 |
| 1689798944 | Helen D Bush | Dentist | 2800-a Coors Blvd. Nw, Albuquerque, NM 87120 | 2007-03-19 |
| 1497880694 | David J Harnick | Dentist | 8631 F Golf Course, Nw, Albuquerque, NM 87114 | 2007-02-21 |
| 1629127105 | Harnick & Anderson LLP | Dentist | 7520 Montgomery Blvd Ne Bldg D9, Albuquerque, NM 87109-1533 | 2007-01-10 |
| 1891858940 | Darren Haltom | Dentist | 10433 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-3727 | 2006-12-19 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
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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.