Individual provider Active NPI

Angel Rivera Ramos, DDS

  • General Practice Dentistry
  • Las Cruces, NM
National Provider Identifier
1336280338
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046797 Issued in NY
Practice address
1300 El Paseo Rd
Las Cruces, NM 88001-6024
Phone
(575) 526-1721
Fax
(575) 525-9099
NPI assigned
Feb 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046797 NY Primary

Addresses

Primary practice location

1300 El Paseo Rd
Las Cruces, NM 88001-6024

Mailing address

2775 N Roadrunner Pkwy
Apt 706
Las Cruces, NM 88011-8112
Phone (917) 667-7546

Other identifiers 1

IdentifierTypeStateIssuer
01739133MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181231001353 TX Practitioner - DentistPractitioner - Oral Surgery 3072858646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046797NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 1, 2018 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Sep 1, 2025 Accepting new patients

Locations

1300 Hospital Loop
Belcourt, ND 58316

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

4100 W 150th St
#3
Cleveland, OH 44135

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1336280338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 N ROADRUNNER PKWY",
            "address_2": "APT 706",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118112",
            "telephone_number": "917-667-7546",
            "fax_number": "575-525-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016024",
            "telephone_number": "575-526-1721",
            "fax_number": "575-525-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ANGEL",
        "middle_name": "RIVERA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.