Bretmgreenddspc

Primary specialty

DentistTaxonomy code 122300000X

License

DD2141 Issued in NM

Legal business name

BRETMGREENDDSPC

Practice address

8501 Candelaria Rd NE
Suite A2
Albuquerque, NM 87112-1034

Phone

(505) 299-9606

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bret Michael Green, DDS

Title

Dr.

Phone

(505) 299-9606

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1770732208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE",
            "address_2": "SUITE A2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121034",
            "telephone_number": "505-299-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 CANDELARIA RD NE",
            "address_2": "SUITE A2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121034",
            "telephone_number": "505-299-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETMGREENDDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "505-299-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2141",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD2322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177740",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92935001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Brenner
• Mara Brenner, LPCC
• Tamara Brenno-Uribarri, COTA/L
• Carolyn Brent, MD
• Dana S Brescia, MOTR/L
• Brittany Breton
• Brett Nelson Counseling Services
• Meghan Elizabeth Brett, MD
• Albert M Brettner, DDS
• Elizabeth More Bretton, M.D,

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.