Active NPI
Jet Dental of New Mexico LLC
- General Practice Dentistry
- Santa Fe, NM
National Provider Identifier
1285564468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.