Individual provider Active NPI

William E Galbreth, DMD

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1740383306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1197 Issued in NM
Practice address
4830 Juan Tabo NE
Suite H
Albuquerque, NM 87111-2682
Phone
(505) 298-8103
Fax
(505) 298-2363
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1197 NM Primary

Addresses

Primary practice location

4830 Juan Tabo NE
Suite H
Albuquerque, NM 87111-2682

Mailing address

4830 Juan Tabo NE
Suite H
Albuquerque, NM 87111-2682
Phone (505) 298-8103

Other identifiers 1

IdentifierTypeStateIssuer
701483OtherNMUNITED CONCORDIA

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

LicenseStateTypeSpecialty
1197NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
William E Galbreth, DMD,PC PastSince Mar 16, 2020 Accepting new patients

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740383306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 JUAN TABO NE",
            "address_2": "SUITE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112682",
            "telephone_number": "505-298-8103",
            "fax_number": "505-298-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 JUAN TABO NE",
            "address_2": "SUITE H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112682",
            "telephone_number": "505-298-8103",
            "fax_number": "505-298-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRETH",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "701483",
            "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 Jul 8, 2007; 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.