Individual provider Active NPI

Robert C. Urquhart, D.D.S.

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1699840744
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DD2593 Issued in NM
Practice address
6800 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1425
Phone
(505) 881-1130
Fax
(505) 881-2081
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DD2593 NM Primary

Addresses

Primary practice location

6800 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1425

Mailing address

6800 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1425
Phone (505) 881-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409002485 NM Order and Referring Only - DentistPractitioner - Dentist 5496717001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Oral Surgery, P.C. PastSince Mar 6, 2022 Accepting new patients
Oral and Maxillofacial Surgery Associate of New Mexico, P.a. Past Accepting new patients
Great Lakes Oral & Maxillofacial Surgery, P.a. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1699840744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091425",
            "telephone_number": "505-881-1130",
            "fax_number": "505-881-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091425",
            "telephone_number": "505-881-1130",
            "fax_number": "505-881-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUHART",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "DD2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.