Devon Kvarfordt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DB-2023-0174 Issued in NM

Practice address

3501 N Butler Ave Ste 104
Farmington, NM 87401-6430

Phone

(505) 564-4470

NPI assigned

Jul 12, 2023

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

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1184303745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ALPER CENTER DR UNIT 25211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890521551",
            "telephone_number": "435-817-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N BUTLER AVE STE 104",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016430",
            "telephone_number": "505-564-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVARFORDT",
        "first_name": "DEVON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2023-0174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Kreidler, RN
• Anna R Krutsky, LCSW
• Caitlin Kuehling
• Ranjit Kumar, M.D
• Jennifer Elizabeth Kump, OTR
• Meagan La Chance, PHARM D
• Sheryle Lynn La Mere, PMSW
• La Mesa Chiropractic and Rehabilitation Center Inc.
• La Plata Medical Examiners
• Hailey Lagasse

• General Practice Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.