Organization Active NPI

Robert C. Urquhart DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
National Provider Identifier
1649656877
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DD2593 Issued in NM
Legal business name
ROBERT C. URQUHART DDS, PC
Practice address
8400 Osuna Rd NE
Suite 4-B
Albuquerque, NM 87111-2087
Phone
(505) 554-2575
Fax
(505) 835-5136
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Robert C Urquhart, DDS
Title
Owner/Dr
Phone
(505) 554-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DD2593 NM Primary

Addresses

Primary practice location

8400 Osuna Rd NE
Suite 4-B
Albuquerque, NM 87111-2087

Mailing address

8400 Osuna Rd NE
Suite 4-B
Albuquerque, NM 87111-2087
Phone (505) 554-2575

Other identifiers 1

IdentifierTypeStateIssuer
77439279MedicaidNM

National Provider Directory

National Provider Directory

Locations

8400 Osuna Rd NE
Ste 4B
Albuquerque, NM 87111
Phone (505) 554-2575

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1649656877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 4-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-554-2575",
            "fax_number": "505-835-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 4-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-554-2575",
            "fax_number": "505-835-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. URQUHART DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "URQUHART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "505-554-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD2593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77439279",
            "state": "NM"
        }
    ],
    "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 Aug 11, 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.