Organization Active NPI

Mountain View Family Dentistry & Orthodontics LLC

  • General Practice Dentistry
  • Rio Rancho, NM
National Provider Identifier
1073158382
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOUNTAIN VIEW FAMILY DENTISTRY & ORTHODONTICS LLC
Practice address
4405 Jager Dr NE Ste C1
Rio Rancho, NM 87144-5715
Phone
(575) 201-6138
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Dana Sexton
Title
General Manager
Phone
(810) 941-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4405 Jager Dr NE Ste C1
Rio Rancho, NM 87144-5715

Mailing address

4146 Neuman Rd
Saint Clair, MI 48079-3234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1073158382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 NEUMAN RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 JAGER DR NE STE C1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445715",
            "telephone_number": "575-201-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY DENTISTRY & ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "810-941-8983"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Dec 22, 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.

Verify at the official NPI Registry.