Individual provider Active NPI

Brian R Papworth, DDS MS

  • Endodontics
  • Albuquerque, NM
National Provider Identifier
1851450175
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DD1759 Issued in NM
Practice address
10151 Montgomery Blvd NE
Suite 1-C
Albuquerque, NM 87111-3670
Phone
(505) 294-3636
Fax
(505) 294-4245
NPI assigned
Dec 6, 2006
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DD1759 NM Primary

Addresses

Primary practice location

10151 Montgomery Blvd NE
Suite 1-C
Albuquerque, NM 87111-3670

Mailing address

10151 Montgomery Blvd NE
Suite 1-C
Albuquerque, NM 87111-3670
Phone (505) 294-3636

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DD1759NMMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Papworth Endodontics Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1851450175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 MONTGOMERY BLVD NE",
            "address_2": "SUITE 1-C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113670",
            "telephone_number": "505-294-3636",
            "fax_number": "505-294-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 MONTGOMERY BLVD NE",
            "address_2": "SUITE 1-C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113670",
            "telephone_number": "505-294-3636",
            "fax_number": "505-294-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPWORTH",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NM",
            "license": "DD1759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.