Organization Active NPI

Celebrate Dental and Braces

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1548643919
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4334 Issued in NM
Legal business name
CELEBRATE DENTAL AND BRACES
Practice address
1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057
Phone
(505) 404-9381
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Dr. Bryan Darrell Stewart, D.D.S
Title
General Dentist
Phone
(435) 650-6586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DD4334 NM Primary

Addresses

Primary practice location

1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057

Mailing address

1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057
Phone (505) 404-9381

National Provider Directory

National Provider Directory

Locations

1625 Rio Bravo Blvd SW
Albuquerque, NM 87105
Phone (505) 877-2240

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1548643919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 RIO BRAVO BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056057",
            "telephone_number": "505-404-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RIO BRAVO BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056057",
            "telephone_number": "505-404-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATE DENTAL AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "435-650-6586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.