Devin Kyle Giron, DDS
Individual provider Active NPI General Practice Dentistry · Isleta, NM
NPI 1134433865 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1134433865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DD3314 (NM)
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022-0640 - Phone
- (506) 869-3200
- Fax
- (505) 869-4881
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208000784 | TX | Order and Referring Only - Dentist |
1759685076 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3314 | NM | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD3314 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Street
Isleta, NM 87022-0640
Mailing address
P.O Box 640
Isleta, NM 87022-0640
Phone (505) 869-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95886061 | Medicaid | NM |
Other names
- Dr. Devin Kyle Giron
Other providers in Isleta, NM
- Kimberly L. Conklan
- Lois Coomer
- Annie Felicia Coots
- Charlene Nicolette Gabaldon
- Roseann Garcia
- Juan J Gutierrez
- Nancy M Halonen
- Merel Hancock
- Leslie J Herman
- Jon Hernandez
All providers in Isleta, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.