Marc Anthony Pacheco, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2172 Issued in NM

Practice address

2600 The American Rd SE Ste 230
Rio Rancho, NM 87124-1858

Phone

(505) 898-7440

Fax

(505) 898-6169

NPI assigned

Sep 6, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 30, 2018 through Oct 30, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Marc a Pacheco DDS LLC

  • Dentist
  • Rio Rancho, NM
  • NPI 1972511830
  Authorized official Same address or phone

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1215122932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 THE AMERICAN RD SE STE 230",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241858",
            "telephone_number": "505-898-7440",
            "fax_number": "505-898-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 THE AMERICAN RD SE STE 230",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241858",
            "telephone_number": "505-898-7440",
            "fax_number": "505-898-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M. Overbay, RPH
• Jennifer Overman, PHARMD
• Abena Marfowaa Owusu-Nkwantabisah
• Charmaine Pacheco, BMS
• Erick Brian Pacheco, LADAC
• Marissa Carmen Pacheco
• Melanie M. Pacheco, PHARMD
• Michaela Pacheco
• Michelle Pacheco
• Paris Packer

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.