NPIMap

Organization Active NPI

Comfort Dental of Brentwood Hills

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1346442167
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMFORT DENTAL OF BRENTWOOD HILLS
Practice address
2010 Juan Tabo Blvd NE
Albuquerque, NM 87112-3306
Phone
(505) 237-2273
Fax
(505) 323-9294
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bruce Irick, DDSNPI 1396751632
Title
Doctor
Phone
(505) 237-2273

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X NM Primary

Addresses

Primary practice location

2010 Juan Tabo Blvd NE
Albuquerque, NM 87112-3306

Mailing address

2010 Juan Tabo Blvd NE
Albuquerque, NM 87112-3306
Phone (505) 237-2273

National Provider Directory

National Provider Directory

Locations

2010 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 237-2273

Practitioners & affiliated clinicians

Practitioners 8

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346442167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123306",
            "telephone_number": "505-237-2273",
            "fax_number": "505-323-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123306",
            "telephone_number": "505-237-2273",
            "fax_number": "505-323-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL OF BRENTWOOD HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IRICK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-237-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "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 Jul 21, 2022; 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.