Organization Active NPI

Gilbreth Group LLC

Doing business as John Gilbreth DDS MS

  • Endodontics
  • Rio Rancho, NM
National Provider Identifier
1265835177
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DD3973 Issued in NM
Legal business name
GILBRETH GROUP LLC
Doing business as
John Gilbreth DDS MS
Practice address
4111 Barbara Loop SE Ste B
Rio Rancho, NM 87124-1068
Phone
(505) 903-6916
Fax
(505) 903-7188
NPI assigned
Oct 6, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. John Brian Gilbreth, D.D.S M.S.NPI 1790097160
Title
Manager
Phone
(505) 903-6916

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DD3973 NM Primary

Addresses

Primary practice location

4111 Barbara Loop SE Ste B
Rio Rancho, NM 87124-1068

Mailing address

4111 Barbara Loop SE Ste B
Rio Rancho, NM 87124-1068
Phone (505) 903-6916

Other identifiers 1

IdentifierTypeStateIssuer
09983881MedicaidNM

Other names 1

  • John Gilbreth DDS MS Doing business as

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-6329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1265835177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-903-6916",
            "fax_number": "505-903-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-903-6916",
            "fax_number": "505-903-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBRETH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "GILBRETH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-903-6916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NM",
            "license": "DD3973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09983881",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Gilbreth DDS MS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.