NPIMap

Organization Active NPI

Willow Springs Dental Hygiene Clinic

  • Dental Hygienist
  • Rio Rancho, NM
National Provider Identifier
1295222560
Registry record updated Apr 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH1332 Issued in NM
Legal business name
WILLOW SPRINGS DENTAL HYGIENE CLINIC
Practice address
1594 Sara Rd SE Ste C
Rio Rancho, NM 87124-1860
Phone
(505) 280-0876
NPI assigned
Apr 21, 2018
Last updated
Apr 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2018

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

Authorized official

Name
Gwendolyn J Montoya, RDH
Title
Partner
Phone
(505) 280-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH1332 NM Primary

Addresses

Primary practice location

1594 Sara Rd SE Ste C
Rio Rancho, NM 87124-1860

Mailing address

985 Player Loop SE
Rio Rancho, NM 87124-5802
Phone (505) 280-0876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524268800000",
    "number": "1295222560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PLAYER LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245802",
            "telephone_number": "505-280-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 SARA RD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241860",
            "telephone_number": "505-280-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-04-21",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-280-0876",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH1332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2018; 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.