Active NPI
Bernard R Hurlbut, DDS
- General Practice Dentistry
- El Paso, TX
National Provider Identifier
1568536258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39188
- Practice address
- 222 Rick Francis St
El Paso, TX 79905-2817 - Phone
- (915) 215-6700
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4787T | NV | |
| General Practice Dentistry | 1223G0001X | 39188 | TX | Primary |
Addresses
Primary practice location
222 Rick Francis St
El Paso, TX 79905-2817
Mailing address
1001 Shadow Lane A103
Las Vegas, NV 89106
Phone (702) 774-2816
Other practice location 1
1700 W Charleston Blvd
Las Vegas, NV 89106
Phone (702) 774-2816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509704 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39188 | TX | MD | Clinical Psychologist |
| 4787T | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University HSC at El WLH School of Dental Medicine | Dentist | Current | Accepting new patients |
| Board of Regents, Nevada System of Higher Education | Past | Accepting new patients |
Locations
222 Rick Francis St
El Paso, TX 79905
Phone (915) 215-6700
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.
-
- Dentist
- El Paso, TX
- NPI 1811561293
-
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
- NPI 1053414862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1568536258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SHADOW LANE A103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-774-2816",
"fax_number": "702-774-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RICK FRANCIS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052817",
"telephone_number": "915-215-6700"
}
],
"practiceLocations": [
{
"address_1": "1700 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89106",
"country_code": "US",
"telephone_number": "702-774-2816",
"fax_number": "702-774-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURLBUT",
"first_name": "BERNARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4787T",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509704",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.