Jonathan J. Aragon, DDS
Individual provider Active NPI Dentist · Los Lunas, NM
NPI 1215465760 · NPPES record last updated May 30, 2017
Key facts
- NPI
- 1215465760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DD4691 (NM)
- Practice address
- 3472 State Highway 47
Los Lunas, NM 87031-8222 - Phone
- (505) 435-9461
- NPI assigned
- May 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD4691 | NM | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD4691 | NM | Yes |
Addresses
Primary practice location
3472 State Highway 47
Los Lunas, NM 87031-8222
Mailing address
54 Entrada Aragon Rd
Los Lunas, NM 87031-7609
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.