NPIMap

Organization Active NPI

Las Cruces Dental Solutions

  • Dentist
  • Las Cruces, NM
National Provider Identifier
1114216389
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD3330 Issued in CO
Legal business name
LAS CRUCES DENTAL SOLUTIONS
Practice address
2001 E Lohman Ave Ste 121
Las Cruces, NM 88001-3195
Phone
(575) 541-0084
Fax
(575) 541-0087
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Matthew Peterson, DDS
Title
Owner
Phone
(575) 541-0084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DD3330 CO Primary

Addresses

Primary practice location

2001 E Lohman Ave Ste 121
Las Cruces, NM 88001-3195

Mailing address

2001 E Lohman Ave Ste 121
Las Cruces, NM 88001-3195
Phone (575) 541-0084

National Provider Directory

National Provider Directory
Tax ID family
Las Cruces Dental Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1114216389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "575-541-0084",
            "fax_number": "575-541-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "575-541-0084",
            "fax_number": "575-541-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-541-0084",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DD3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.