Individual provider Active NPI

Robert Edward Darmitzel, DDS

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1487740403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1230 Issued in NM
Practice address
1300 Luisa St Ste 6
Santa Fe, NM 87505-4177
Phone
(505) 988-4161
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1230 NM Primary

Addresses

Primary practice location

1300 Luisa St Ste 6
Santa Fe, NM 87505-4177

Mailing address

1300 Luisa St Ste 6
Santa Fe, NM 87505-4177
Phone (505) 988-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000657 NM Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173841558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487740403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST STE 6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054177",
            "telephone_number": "505-988-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST STE 6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054177",
            "telephone_number": "505-988-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMITZEL",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.