NPIMap

Organization Active NPI

Raton Family Dental LLC

  • Dental Clinic/Center
  • Raton, NM
National Provider Identifier
1194358762
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RATON FAMILY DENTAL LLC
Practice address
1100 S 2ND St Ste C
Raton, NM 87740-2326
Phone
(801) 717-8637
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Dr. Stephen Paul Dixon, DMDNPI 1417323270
Title
Owner
Phone
(801) 717-8637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1100 S 2ND St Ste C
Raton, NM 87740-2326

Mailing address

132 N Commercial St Unit 2
Trinidad, CO 81082-2655
Phone (801) 717-8637

National Provider Directory

National Provider Directory

Locations

1100 S 2nd St
Ste C
Raton, NM 87740
Phone (801) 717-8637

1100 S 2nd St
Raton, NM 87740

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": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1194358762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N COMMERCIAL ST UNIT 2",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822655",
            "telephone_number": "801-717-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S 2ND ST STE C",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402326",
            "telephone_number": "801-717-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATON FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-717-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.