Active NPI
Devin Kyle Giron, DDS
- General Practice Dentistry
- Isleta, NM
National Provider Identifier
1134433865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD3314
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022-0640 - Phone
- (506) 869-3200
- Fax
- (505) 869-4881
- NPI assigned
- Aug 5, 2010
- Last updated
- Feb 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD3314 | NM | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95886061 | Medicaid | NM |
Other names 1
- Dr. Devin Kyle Giron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208000784 | TX | Order and Referring Only - Dentist | 1759685076 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1134433865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 640",
"city": "ISLETA",
"state": "NM",
"postal_code": "870220640",
"telephone_number": "505-869-3200",
"fax_number": "505-869-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "01 SAGEBRUSH STREET",
"city": "ISLETA",
"state": "NM",
"postal_code": "870220640",
"telephone_number": "506-869-3200",
"fax_number": "505-869-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRON",
"first_name": "DEVIN",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD3314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95886061",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEVIN",
"last_name": "GIRON",
"middle_name": "KYLE",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Isleta, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.