Individual provider Active NPI

Roberto Luis Trigo, D.D.S.

  • General Practice Dentistry
  • Las Cruces, NM
National Provider Identifier
1124024211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NM1775 Issued in NM
Practice address
1131 Med Park Dr
Las Cruces, NM 88005-1131
Phone
(505) 521-7017
Fax
(505) 541-0624
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NM1775 NM Primary

Addresses

Primary practice location

1131 Med Park Dr
Las Cruces, NM 88005-1131

Mailing address

2800 Teresita St
Las Cruces, NM 88005-3893
Phone (505) 526-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NM1775NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trigo & Trigo DDS LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124024211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 TERESITA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053893",
            "telephone_number": "505-526-3681",
            "fax_number": "505-541-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MED PARK DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051131",
            "telephone_number": "505-521-7017",
            "fax_number": "505-541-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIGO",
        "first_name": "ROBERTO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "NM1775",
            "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 Jul 8, 2007; 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.