Active NPI
Andrew Dahl-Bredine
- Social Worker
- Silver City, NM
National Provider Identifier
1801303276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- X-10217
- Practice address
- 1311 N Grant St
Silver City, NM 88061-5134 - Phone
- (575) 519-9232
- NPI assigned
- Jan 6, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | X-10217 | NM | Primary |
Addresses
Primary practice location
1311 N Grant St
Silver City, NM 88061-5134
Mailing address
2329 Cottage San Rd
Silver City, NM 88061-8988
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 |
|---|---|---|---|
| X-10217 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515196800000",
"number": "1801303276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2329 COTTAGE SAN RD",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880618988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 N GRANT ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615134",
"telephone_number": "575-519-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL-BREDINE",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-06",
"last_updated": "2018-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-10217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.