Rio Rancho Modern Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIO RANCHO MODERN DENTISTRY, LLC

Doing business as

Rio Rancho Modern Dentistry

Practice address

950 Unser Blvd SE
Suite 110
Rio Rancho, NM 87124-6375

Phone

(505) 892-2900

Fax

(505) 892-2913

NPI assigned

Jan 20, 2014

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Conner, D.D.S.

Title

Owner

Phone

(505) 892-2900

Specialties & licenses 1

Addresses

Other names 1

• Rio Rancho Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1346662749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 UNSER BLVD SE",
            "address_2": "SUITE 110",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246375",
            "telephone_number": "505-892-2900",
            "fax_number": "505-892-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO RANCHO MODERN DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-892-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Rancho Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rio Rancho Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rio Rancho Dental Center
• Rio Rancho Family Counceling Center, LLC
• Rio Rancho Family Counseling Center, LLC
• Rio Rancho Medical & Infusion Care LLC
• Rio Rancho Mid-High
• Rio Rancho Operations, LLC
• Rio Rancho Oral and Maxillofacial Surgery PC
• Rio Rancho Physical Therapy
• Rio Rancho Public Schools
• Rio Rancho Public Schools

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.