Active NPI
Celebrate Dental and Braces
- Dentist
- Albuquerque, NM
National Provider Identifier
1548643919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD4334
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.