Active NPI
Rebeca Viego
- General Practice Dentistry
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD5254
- Practice address
- 2345 Southern Blvd SE Ste B1
Rio Rancho, NM 87124-3761 - Phone
- (505) 892-0111
- NPI assigned
- Apr 3, 2013
- Last updated
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN20534 | FL | |
| General Practice Dentistry | 1223G0001X | DD5254 | NM | Primary |
Addresses
Primary practice location
2345 Southern Blvd SE Ste B1
Rio Rancho, NM 87124-3761
Mailing address
9100 San Mateo Blvd NE Apt 1124
Albuquerque, NM 87113-2612
Phone (305) 926-3121
Other practice location 1
6230 Paseo Del Norte NE Ste B
Albuquerque, NM 87113-2568
Phone (505) 244-3000
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 |
|---|---|---|---|
| DN20534 | FL | MD | General Practice Dentistry |
| DD5254 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Dental, LLC | General Practice | Current | Accepting new patients |
| Luis a Sanchez DMD and Associates | General Practice | Past | Accepting new patients |
| Eagle Pointe Dentists and Orthodontics, LLC | Past | Accepting new patients | |
| Felix C. Madrid, D.D.S.,P.a. | Past | Accepting new patients |
Locations
2345 Southern Blvd SE
Ste B1
Rio Rancho, NM 87124
Phone (505) 892-0111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sonrisa Family Dental- Rio Rancho
- General Practice Dentistry
- Rio Rancho, NM
- NPI 1124779210
-
dba Eagle Pointe Dentists and Orthodontics
- Dentist
- Albuquerque, NM
- NPI 1093053340
-
- Dentist
- Rio Rancho, NM
- NPI 1164650388
-
dba Miami Dental Sedation Spa
- General Practice Dentistry
- Coral Gables, FL
- NPI 1063862563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1053654475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 SAN MATEO BLVD NE APT 1124",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132612",
"telephone_number": "305-926-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 SOUTHERN BLVD SE STE B1",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243761",
"telephone_number": "505-892-0111"
}
],
"practiceLocations": [
{
"address_1": "6230 Paseo Del Norte NE Ste B",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871132568",
"country_code": "US",
"telephone_number": "505-244-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIEGO",
"first_name": "REBECA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN20534",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD5254",
"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 Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.