Patricia B Valdivia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD1637 Issued in NM

Practice address

1209 Bonita St
Grants, NM 87020-2103

Phone

(505) 876-4034

Fax

(505) 876-4036

NPI assigned

Nov 11, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Patricia B. Valdivia D.D.S.,P.C.

  • General Practice Dentistry
  • Grants, NM
  • NPI 1386817765
  NPD (past) Authorized official
• Derrick Baca DDS LLC

  • General Practice Dentistry
  • Grants, NM
  • NPI 1902214406
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891776225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 BONITA ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202103",
            "telephone_number": "505-285-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BONITA ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202103",
            "telephone_number": "505-876-4034",
            "fax_number": "505-876-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Options Equipment Providers, Inc.
• Town of Grants
• Tribeaid Inc
• Annessa Valdez Simpkins, MA, LPCC
• Arnold W Valdivia, M.D.
• Tearza Valencia, LMSW
• Robert Phillip Velarde, PT
• Amber Nicole Velez, CSW
• Michael J Venable
• Janell Marie Villalobos, REGISTERED NURSE

• General Practice Dentistry in Grants, NM
• Providers in Grants, NM by specialty
• General Practice Dentistry 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.