Jayson Garcia-Gurule

Primary specialty

DentistTaxonomy code 122300000X

License

DD5146 Issued in NM

Practice address

530 De Moss St
Lordsburg, NM 88045-2617

Phone

(575) 542-8384

Fax

(575) 542-8387

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hidalgo Medical Services

  dba HMS

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment NPD
• Hidalgo Medical Services

  dba HMS Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1063759330
  NPD
• Hidalgo Medical Services

  dba Tu Casa

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1841852555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452617",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452617",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-GURULE",
        "first_name": "JAYSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Crockett
• April J Delagarza
• Veronica Diaz
• Johnny Ray Flores
• Dara Ann Foster, CNP
• Genoa Healthcare LLC
• Edgar Eduardo Gomez, ASSOCAITES OF ARTS/
• Terri E Gomez, LBSW
• Forrest E Henry, DO
• Hidalgo County (Hidalgo County DWI Prevention Program)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.