High Desert Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD1387 Issued in NM

Legal business name

HIGH DESERT DENTAL LLC

Practice address

6830 Montgomery Blvd NE Ste a
Albuquerque, NM 87109-1455

Phone

(505) 888-2606

Fax

(505) 837-1635

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gary M Ross, D.D.S.,F.A.G.D.,F.I.

Title

President

Phone

(505) 888-2606

Specialties & licenses 1

Addresses

Other names 1

• High Desert Dental Doing business as

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1245506609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 MONTGOMERY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091455",
            "telephone_number": "505-888-2606",
            "fax_number": "505-837-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 MONTGOMERY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091455",
            "telephone_number": "505-888-2606",
            "fax_number": "505-837-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-888-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,F.A.G.D.,F.I."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marla Kay Higgins, MA
• Ronne Lee Higgins, PT
• Shafer Higgins, CF-SLP
• Deborah W Higgs, LMHC, LPCC
• High Country Macula Retina and Vitreous PC
• High Desert Dermatology PC
• High Desert Doppler
• High Desert Doppler Inc.
• High Desert Family Services
• High Desert Family Services

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, 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 Mar 29, 2012; 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.