James Golden Durfey, DDS
Individual provider Active NPI Dentist · Aztec, NM
NPI 1407960958 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1407960958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DD2752 (NM)
- Practice address
- 503 S Main Ave
Aztec, NM 87410-2247 - Phone
- (505) 390-1117
- Fax
- (505) 334-9454
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160509001023 | NM | Order and Referring Only - Dentist |
8628377975 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aztec Family Dental Care, P.C. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD2752 | NM | Yes |
Addresses
Primary practice location
503 S Main Ave
Aztec, NM 87410-2247
Mailing address
503 S Main Ave
Aztec, NM 87410-2247
Phone (505) 444-0311
Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.