Active NPI
Brandon Wade Terhune, DMD
- Dentist
- Albuquerque, NM
National Provider Identifier
1649756206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD4928
- Practice address
- 7520 Montgomery Blvd NE BLDG E12
Albuquerque, NM 87109-1586 - Phone
- (505) 888-6980
- Fax
- (505) 888-9522
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD4928 | NM | Primary |
Addresses
Primary practice location
7520 Montgomery Blvd NE BLDG E12
Albuquerque, NM 87109-1586
Mailing address
7520 Montgomery Blvd NE BLDG E12
Albuquerque, NM 87109-1586
Phone (505) 888-6980
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 |
|---|---|---|---|
| DD4928 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1649756206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7520 MONTGOMERY BLVD NE BLDG E12",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091586",
"telephone_number": "505-888-6980",
"fax_number": "505-888-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7520 MONTGOMERY BLVD NE BLDG E12",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091586",
"telephone_number": "505-888-6980",
"fax_number": "505-888-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERHUNE",
"first_name": "BRANDON",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD4928",
"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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.