AUSTIN TYLER EDDY DMD
NPI 1962081471
Dentist in Chaparral, NM

Q: What is Austin Eddy's NPI number?

The NPI number for Austin Eddy is 1962081471. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Austin Eddy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Austin Eddy was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2021

510 E LISA DR, CHAPARRAL, NM 88081(575) 824-0128(575) 824-0179 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Jul 8, 2021, Jun 24, 2021 and 1 more (4 updates tracked since 2021).

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About Austin Tyler Eddy Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN TYLER EDDY DMD (NPI 1962081471) is an individual dentist in Chaparral, New Mexico, licensed in Colorado (00205514) and active in the NPI registry since April 2021. He maintains a secondary practice location in Cortez.

NPPES Registry Identity

NPI1962081471

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameAUSTIN TYLER EDDYCredential: DMD

Location Address510 E LISA DRChaparral, NM 88081-7809

Mailing Address115 N Beech StCortez, CO 81321-3207 · (970) 565-7275

Phone(575) 824-0128

Fax(575) 824-0179

Sole ProprietorNo

Enumeration DateApril 3, 2021

Last NPPES UpdateNovember 16, 20234 updates tracked since enumeration

NPPES CertifiedNovember 16, 2023

✔ NPI 1962081471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CO · 00205514✔ Licensed in NM · DD5457

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

510 E LISA DR, Chaparral, NM 88081

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Secondary Practice Location 1

Location 1115 N Beech StCortez, CO 81321 · Phone (435) 590-1795

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTHA LORENA CONTRERAS FNP

Nurse Practitioner (Family)