Active NPI
Ben Richard Padilla, DDS
- General Practice Dentistry
- Roswell, NM
National Provider Identifier
1093705246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD2384
- Practice address
- 110 W Country Club Rd
Suite 6
Roswell, NM 88201-0618 - Phone
- (505) 622-5835
- Fax
- (505) 622-5837
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD2384 | NM | Primary |
Addresses
Primary practice location
110 W Country Club Rd
Suite 6
Roswell, NM 88201-0618
Mailing address
530 N Telshor Blvd
Suitea
Las Cruces, NM 88011-8243
Phone (505) 532-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160819001875 | TX | Order and Referring Only - Dentist | 9234424979 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD2384 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093705246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N TELSHOR BLVD",
"address_2": "SUITEA",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118243",
"telephone_number": "505-532-5437",
"fax_number": "505-522-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W COUNTRY CLUB RD",
"address_2": "SUITE 6",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882010618",
"telephone_number": "505-622-5835",
"fax_number": "505-622-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "BEN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD2384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.