Individual provider Active NPI

Richard Wesley Bransford, D.D.S.

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1467740464
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0026499 Issued in TX
Practice address
3110 Trawood Dr Ste D
El Paso, TX 79936-3842
Phone
(915) 855-1000
Fax
(915) 855-6600
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0026499 TX Primary

Addresses

Primary practice location

3110 Trawood Dr Ste D
El Paso, TX 79936-3842

Mailing address

3110 Trawood Dr Ste D
El Paso, TX 79936-3842
Phone (915) 855-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0026499TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1467740464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 TRAWOOD DR STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363842",
            "telephone_number": "915-855-1000",
            "fax_number": "915-855-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 TRAWOOD DR STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363842",
            "telephone_number": "915-855-1000",
            "fax_number": "915-855-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSFORD",
        "first_name": "RICHARD",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0026499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.