DR. CIELO CONSTANZA DOHERTY DDS NPI 1164410882

NPI Information

  • NPI: 1164410882
  • Provider Name: DR. CIELO CONSTANZA DOHERTY, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: US HWY 491 NORTH
    SHIPROCK, NM
    ZIP 87420
  • Phone: (505) 368-6401

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NPI Details

DR. Cielo Constanza Doherty, DDS is a pediatric dentistry dentist in Shiprock, NM. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Cielo Constanza Doherty, DDS NPI is 1164410882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 368-6401
Fax: (505) 368-6431

The enumeration date for this NPI number is 10/6/2005 and was last updated on 9/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry6891COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
152686264MEDICAIDCOLORADO
2618423MEDICAIDARIZONA
3B4089MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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