Dallas Brimhall DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3247 Issued in NM

Legal business name

DALLAS BRIMHALL DDS LLC

Practice address

4421 Irving Blvd NW Ste B
Albuquerque, NM 87114-5919

Phone

(505) 821-6910

Fax

(505) 792-5771

NPI assigned

Apr 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dallas Creed Brimhall, DDS

Title

Dentist/Owner

Phone

(505) 821-6910

Specialties & licenses 1

Addresses

Other names 1

• Riverpoint Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boyd Emmitt Newsome, DMD

  • Dentist
  • Albuquerque, NM
  • NPI 1396091799
  NPD (past)
• Mara Esther Shindell, D.D.S.

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1720446164
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1467895904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 IRVING BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145919",
            "telephone_number": "505-821-6910",
            "fax_number": "505-792-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 IRVING BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145919",
            "telephone_number": "505-821-6910",
            "fax_number": "505-792-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS BRIMHALL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "CREED",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "505-821-6910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverpoint Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Dailey
• Kathryn Ann Daily, M.S.,CCC-SLP
• Benson Daitz, M.D.
• Jade Meadow Dalander
• Kerry Dalen
• Shelly Brooke Dallas, LMSW
• Meghann Eileen Dallin
• Christina Dalsanto, SLP
• Rachael M Dalto, M.S., CF-SLP
• Ashley Sue Dalton, RDH

• 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 Apr 15, 2013; 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.