New Mexico Dental Clinics LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NEW MEXICO DENTAL CLINICS LLC

Practice address

1594 Sara Rd SE Ste C
Rio Rancho, NM 87124

Phone

(866) 851-6236

NPI assigned

Apr 19, 2018

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Hanna

Title

Owner

Phone

(505) 273-3220

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

New Mexico Dental Clinics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Socorro Dental Care Inc.

  dba uSmile Dental LLC

  • General Practice Dentistry
  • Rio Rancho, NM
  • NPI 1255814968
  NPD tax ID

Locations

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1013404581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 SARA RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241860",
            "telephone_number": "866-851-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 SARA RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "866-851-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Barbara Loop SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241000",
            "country_code": "US",
            "telephone_number": "877-989-7413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Barbara Loop SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241000",
            "country_code": "US",
            "telephone_number": "877-989-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW MEXICO DENTAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-273-3220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4651",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DD4651",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://newmexicodentalclinics.setmore.com/",
            "affiliation": "N",
            "endpointDescription": "CLINIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1594 Sara Rd SE Ste C",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Customized Equipment (DME) in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Customized Equipment (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.