NPIMap

Organization Active NPI

Mountain View Family Dentists LLC

  • Dental Clinic/Center
  • Rio Rancho, NM
National Provider Identifier
1104594878
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOUNTAIN VIEW FAMILY DENTISTS LLC
Practice address
4405 Jager Dr NE Ste C1
Rio Rancho, NM 87144-5715
Phone
(505) 867-1442
Fax
(505) 867-1438
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Anachelica Keith
Title
Manager
Phone
(505) 867-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

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

Mailing address

4405 Jager Dr NE Ste C1
Rio Rancho, NM 87144-5715
Phone (505) 867-1442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1104594878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 JAGER DR NE STE C1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445715",
            "telephone_number": "505-867-1442",
            "fax_number": "505-867-1438"
        },
        {
            "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": "505-867-1442",
            "fax_number": "505-867-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "ANACHELICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-867-1442"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Aug 30, 2021; 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.