Joshua Greer Carney, DMD – General Practice Dentistry

Key facts

NPI: 1548939549
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DEN.00204822 (CO)
Practice address: 500 N Mundo Drive
Dulce, NM 87528
Phone: (575) 759-3291
Fax: (575) 759-3651
NPI assigned: Sep 13, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Dulce Health Center General Acute Care Hospital · Dulce, NM · NPI 1750388963

Medicare reassignment TX
Jicarilla IHS Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Dulce, NM · NPI 1124220900

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210929003184	TX	Practitioner - Dentist	3678970977	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
DEN.00204822	CO	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Jicarilla IHS Pharmacy		Current since Mar 5, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DEN.00204822	CO	Yes

Addresses

Primary practice location

500 N Mundo Drive
Dulce, NM 87528

Mailing address

42 Spruce CT
Durango, CO 81301-7213
Phone (603) 315-3470

Other providers in Dulce, NM

All providers in Dulce, NM · General Practice Dentistry in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.