Individual provider Active NPI

Phillip Richard Huckans, DDS

  • General Practice Dentistry
  • Silver City, NM
National Provider Identifier
1053304238
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD1898 Issued in NM
Practice address
2109 N Pinos Altos Rd
Silver City, NM 88061-7866
Phone
(505) 534-1133
Fax
(505) 534-1144
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD1898 NM Primary

Addresses

Primary practice location

2109 N Pinos Altos Rd
Silver City, NM 88061-7866

Mailing address

2109 N Pinos Altos Rd
Silver City, NM 88061-7866
Phone (505) 534-1133

Other identifiers 1

IdentifierTypeStateIssuer
Q2382MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DD1898NMMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053304238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N PINOS ALTOS RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617866",
            "telephone_number": "505-534-1133",
            "fax_number": "505-534-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 N PINOS ALTOS RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617866",
            "telephone_number": "505-534-1133",
            "fax_number": "505-534-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKANS",
        "first_name": "PHILLIP",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q2382",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.