Steven Jacob Traub, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DD1261 Issued in NM

Practice address

8400 Osuna Rd NE
Suite 6-B
Albuquerque, NM 87111-2087

Phone

(505) 292-8555

Fax

(505) 293-3863

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 14, 2017 through Feb 14, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831248202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 SAN BERNARDINO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223215",
            "telephone_number": "505-872-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 6-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-292-8555",
            "fax_number": "505-293-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "STEVEN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD1261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA (DENTAL)",
            "identifier": "827635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82222",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Haagerq Trapp, LMSW
• Timothy D Trapp, MD
• Jan L Tras, LPCC, LMFT
• Valerie Trask, M.S. CCC-SLP
• Thy Thy Kim Trat Thai, DPM
• Michael Allen Trauba
• Kristine Traum
• Trauma Recovery Services, LLC
• Kerry Elizabeth Trautwein, OT/L
• Dawn M. Travelstead, M.S., R.D., L.D.

• Oral and Maxillofacial Surgery (Dentist) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Mexico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.