Justin Clayton Porter, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2513 Issued in NM

Practice address

1340 E 32ND St
Silver City, NM 88061-7252

Phone

(505) 538-5664

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Silver City Dental PC

  • Dental Clinic/Center
  • Silver City, NM
  • NPI 1396341541
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013085406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617252",
            "telephone_number": "505-538-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617252",
            "telephone_number": "505-538-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JUSTIN",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Jo Ping, OTR/L
• Pinyon Pines Emergency Physicians LLC
• Courntey Plotts, SCHOOL PSYCHOLOGIST
• Charlotte Polanco, LMSW
• Chance McCall Porter
• Amy Souders Potts, RN
• Tanya Powel
• Alec J'Dan Powell, RN
• Stephen Lewis Priftakis, DMD
• Protherapy Inc

• All providers in Silver City, NM
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.