Active NPI
Robert W Astles, DMD MAGD
- Dentist
- Rio Rancho, NM
National Provider Identifier
1013086453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7197
- Practice address
- 2200 Grande Blvd SE Ste a
Rio Rancho, NM 87124-1695 - Phone
- (505) 891-1500
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7197 | FL | Primary |
Addresses
Primary practice location
2200 Grande Blvd SE Ste a
Rio Rancho, NM 87124-1695
Mailing address
963 37TH Place
Vero Beach, FL 32960
Phone (772) 562-5700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7197 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Dentistry LLC | Current | Accepting new patients | |
| Lima Dental PLLC | Past | Accepting new patients |
Locations
2200 Grande Blvd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 891-1500
Networks
- FL HMO D-SNP
- NM HMO C-SNP
- CO HMO D-SNP
- FL HMO C-SNP
- TX HMO D-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Rio Rancho, NM
- NPI 1972166262
-
- General Practice Dentistry
- Vero Beach, FL
- NPI 1285410688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1013086453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 37TH PLACE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-562-5700",
"fax_number": "772-562-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GRANDE BLVD SE STE A",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241695",
"telephone_number": "505-891-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTLES",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "DMD MAGD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "7197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.