Bruce William Irick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2748 Issued in NM

Practice address

2010 Juan Tabo Blvd NE
Albuquerque, NM 87112-3306

Phone

(505) 237-2273

Fax

(505) 323-9294

NPI assigned

Jul 31, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comfort Dental of Brentwood Hills

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1346442167
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396751632",
    "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": {
        "last_name": "IRICK",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Invision, LLC
• Ipc Hospitalists of New Mexico, Inc
• Ahsan Iqbal, M.D.
• Yazmin Irazoqui-Ruiz, MD
• Sabrina Ireland
• Louisa Irick, LMFT
• Iris Behavioral Health LLC
• Katherine Irish, LPCC, LPAT
• Vanessa A Irizarry
• Monique Iron Shell

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, 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 8, 2007; 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.