Organization Active NPI

Jet Dental of New Mexico LLC

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1285564468
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JET DENTAL OF NEW MEXICO LLC
Practice address
1704 Llano St Ste B-1356
Santa Fe, NM 87505-5415
Phone
(801) 430-9262
NPI assigned
May 20, 2026
Organization subpart
Yes
Parent organization
JET MANAGEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Darra Thomas-Davis
Title
Paralegal
Phone
(801) 430-9262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1704 Llano St Ste B-1356
Santa Fe, NM 87505-5415

Mailing address

1704 Llano St Ste B-1356
Santa Fe, NM 87505-5415
Phone (801) 430-9262

National Provider Directory

National Provider Directory

Locations

1704 Llano St
Ste B1356
Santa Fe, NM 87505

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1285564468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B-1356",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B-1356",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF NEW MEXICO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS-DAVIS",
        "authorized_official_first_name": "DARRA",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "801-430-9262"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.