Organization Active NPI

Celebraces NM LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
National Provider Identifier
1184975526
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CELEBRACES NM LLC
Practice address
1625 Rio Bravo Blvd SW
Suite 33
Albuquerque, NM 87105-6057
Phone
(720) 427-2818
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Dr. David Clayden, DDS, MSDNPI 1114229416
Title
Member
Phone
(720) 427-2818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1625 Rio Bravo Blvd SW
Suite 33
Albuquerque, NM 87105-6057

Mailing address

1625 Rio Bravo Blvd SW
Suite 33
Albuquerque, NM 87105-6057

National Provider Directory

National Provider Directory

Locations

1625 Rio Bravo Blvd SW
Ste 33
Albuquerque, NM 87105
Phone (505) 404-9382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1184975526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 RIO BRAVO BLVD SW",
            "address_2": "SUITE 33",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RIO BRAVO BLVD SW",
            "address_2": "SUITE 33",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056057",
            "telephone_number": "720-427-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRACES NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "CLAYDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-427-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.