Individual provider Active NPI

Devin Kyle Giron, DDS

  • General Practice Dentistry
  • Isleta, NM
National Provider Identifier
1134433865
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3314 Issued in NM
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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 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

IdentifierTypeStateIssuer
95886061MedicaidNM

Other names 1

  • Dr. Devin Kyle Giron Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208000784 TX Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.