Active NPI
Mountain View Family Dentistry & Orthodontics LLC
- General Practice Dentistry
- Rio Rancho, NM
National Provider Identifier
1073158382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.