NPIMap

Organization Active NPI

Michael S. Redman, D.M.D., P.C.

  • General Practice Dentistry
  • Espanola, NM
National Provider Identifier
1760651277
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1421 Issued in NM
Legal business name
MICHAEL S. REDMAN, D.M.D., P.C.
Practice address
704 La Joya St
Espanola, NM 87532-2599
Phone
(505) 753-2230
Fax
(505) 753-7163
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mrs. Cynthia Redman
Title
Secretary/Treasure
Phone
(505) 753-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1421 NM Primary

Addresses

Primary practice location

704 La Joya St
Espanola, NM 87532-2599

Mailing address

704 La Joya St
Espanola, NM 87532-2599
Phone (505) 753-2230

National Provider Directory

National Provider Directory

Locations

704 La Joya St
Espanola, NM 87532
Phone (505) 753-2230

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1760651277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LA JOYA ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322599",
            "telephone_number": "505-753-2230",
            "fax_number": "505-753-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LA JOYA ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322599",
            "telephone_number": "505-753-2230",
            "fax_number": "505-753-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. REDMAN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SECRETARY/TREASURE",
        "authorized_official_telephone_number": "505-753-2230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.