Dentistryone of New Mexico PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRYONE OF NEW MEXICO PC

Practice address

1704 Llano St Ste B-1446
Santa Fe, NM 87505-5415

Phone

(877) 712-7875

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Derek Weigand, DMD

Title

Owner

Phone

(877) 712-7875

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1295594307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HIGHLAND AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B-1446",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415",
            "telephone_number": "877-712-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRYONE OF NEW MEXICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "WEIGAND",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-712-7875",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental del Sol, LLC
• Dental Fitness, PC
• Dental Hygiene Care of Santa Fe Inc
• Dental Partners of Santa Fe LLC
• Dentistry on St. Michaels LLC
• Juan Carlos Deoses Burciaga, LCSW
• Department of Health - Public Health Division
• Department of Health, Public Health Division
• Department of Health, Public Health Division
• Department of Health, Public Health Division

• All providers in Santa Fe, NM
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.