Rio Rancho Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

DD1498 Issued in NM

Legal business name

RIO RANCHO DENTAL CENTER

Practice address

1316 Jackie Rd SE Ste 300
Rio Rancho, NM 87124-1045

Phone

(505) 994-9693

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Mary A Whitlow

Title

Office Manager

Phone

(505) 994-9693

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1023344579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 300",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-994-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 300",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-994-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO RANCHO DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-994-9693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD1498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Elizabeth Riley, D.O.
• Kristy Dawn Riniker, MD
• Rio at Rust Centre (The Rio at Cabezon)
• Rio Dental and Orthodontics LLC
• Rio Eyecare & Contact Lenses Inc
• Rio Rancho Family Counceling Center, LLC
• Rio Rancho Family Counseling Center, LLC
• Rio Rancho Medical & Infusion Care LLC
• Rio Rancho Mid-High
• Rio Rancho Modern Dentistry, LLC (Rio Rancho Modern Dentistry)

• Dentist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.