DR. TRAVIS C. RUDD (NPI# 1255579264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255579264 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS C. RUDD |
| Credential | DDS |
| Practice Address |
10151 Montgomery Blvd Ne Suite 2d Albuquerque NM 87111-3670 |
| Practice Telephone | 5052923400 |
| Practice Fax Number | 5052927124 |
| Mailing Telephone | 5052923400 |
| Mailing Fax Number | 5052927124 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DD3881 | NM | Dental Providers |
| Street Address |
10151 MONTGOMERY BLVD NE SUITE 2D |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512297 | Steven Roholt | Dentist | 10151 Montgomery Blvd Ne, Suite 2-d, Albuquerque, NM 87111-3670 | 2005-10-20 |
| 1568854339 | Papworth Endodontics | Dentist | 10151 Montgomery Blvd Ne, Suite 1-c, Albuquerque, NM 87111-3670 | 2015-03-03 |
| 1205062858 | Brett Douglas Schow | Dentist | 10151 Montgomery Blvd Ne, Building 2 Suite D, Albuquerque, NM 87111-3670 | 2009-06-09 |
| 1063610228 | Ryan Paul Savage | Dentist | 10151 Montgomery Blvd Ne, Suite 2b, Albuquerque, NM 87111 | 2007-07-10 |
| 1508061169 | Peter Norman Smith | Psychologist | 10151 Montgomery Blvd Ne, Suite 2c, Albuquerque, NM 87111-3670 | 2007-06-15 |
| 1174653299 | Western Dermatology Consultants PC | Dermatology | 10151 Montgomery Blvd Ne, Bldg. 1 Ste. A, Albuquerque, NM 87111-3670 | 2007-03-07 |
| 1851450175 | Brian R Papworth | Dentist | 10151 Montgomery Blvd Ne, Suite 1-c, Albuquerque, NM 87111-3670 | 2006-12-06 |
| 1861409138 | Ricardo Munoz | Dentist | 10151 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87111-3670 | 2006-08-01 |
| 1689694978 | Frank Wolfel Montoya Jr. | Dentist | 10151 Montgomery Blvd Ne, Suite B, Albuquerque, NM 87111-3670 | 2006-07-20 |
| 1427004340 | Steven B. Roholt, Dds, PC | Dentist | 10151 Montgomery Blvd Ne, Suite 2-d, Albuquerque, NM 87111-3670 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629460951 | Mark Conover | Dentist | 7050 Barstow St Ne, Albuquerque, NM 87111-1056 | 2015-02-24 |
| 1265671770 | Sandia Oral Surgery and Dental Implant Center | Dentist | 7009 Montgomery Blvd. Ne, Albuquerque, NM 87109 | 2009-02-08 |
| 1598929242 | West Mesa Oral and Maxillofacial Surgery PC | Dentist | 4801 Mcmahon Blvd Nw Ste 230, Albuquerque, NM 87114-5478 | 2008-07-11 |
| 1013179530 | Joyce Ann Jeffries | Dentist | 9674 Eagle Ranch Rd Nw, Suite 1, Albuquerque, NM 87114-1580 | 2008-06-26 |
| 1457527368 | Southwest Oral & Maxillofacial Surgery | Dentist | 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 | 2008-05-01 |
| 1447324280 | David Eric Tuggle | Dentist | 7009 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2006-11-20 |
| 1275613788 | Timothy L Gutierrez Sr. | Dentist | 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 | 2006-10-17 |
| 1104930288 | Jeffery Bryan Wheaton | Dentist | 1628 Alameda Blvd Nw, Albuquerque, NM 87114 | 2006-08-18 |
| 1063470904 | James D Crine II | Dentist | 4550 Eubank Ne Ste #103, Albuquerque, NM 87111 | 2006-05-02 |
| 1750359618 | Lionel Michael Candelaria | Dentist | 6800 Montgomery Blvd Ne Ste A, Albuquerque, NM 87109-1425 | 2006-03-08 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on DR. TRAVIS C. RUDD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.