Active NPI
Alicia Baca-Salazar, RDH
- Dental Hygienist
- Rio Rancho, NM
National Provider Identifier
1174922231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH2180
- Practice address
- 4405 Jager Dr NE Ste C1
Rio Rancho, NM 87144-5715 - Phone
- (505) 867-1442
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH2180 | NM | Primary |
Addresses
Primary practice location
4405 Jager Dr NE Ste C1
Rio Rancho, NM 87144-5715
Mailing address
10700 Stone Hollow PL NW
Albuquerque, NM 87114-3797
Phone (505) 280-2322
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH2180 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1174922231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 STONE HOLLOW PL NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871143797",
"telephone_number": "505-280-2322"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA-SALAZAR",
"first_name": "ALICIA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH2180",
"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 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.