Las Cruces Dental Solutions LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAS CRUCES DENTAL SOLUTIONS LLC

Practice address

2001 E Lohman Ave Ste 121
Las Cruces, NM 88001-3195

Phone

(575) 527-4746

Fax

(575) 904-7152

NPI assigned

Dec 15, 2022

Last updated

Dec 15, 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. Mathew Charles Petersen, DDSNPI 1215249917

Title

Managing Member

Phone

(575) 527-4746

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mathew C Petersen, DDS

  • General Practice Dentistry
  • Las Cruces, NM
  • NPI 1215249917
  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1346952942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "575-527-4746",
            "fax_number": "575-904-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "575-527-4746",
            "fax_number": "575-904-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES DENTAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "575-527-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Cruces Caregiving Company LLC (CareCo - The Caregiving Company)
• Las Cruces Comprehensive Rehabilitation Inc. (Las Cruces Home Care)
• Las Cruces Dental Associates, PC
• Las Cruces Dental Hygienists Clinic LLC
• Las Cruces Dental Solutions
• Las Cruces Dermatology Associates P.C.
• Las Cruces Doula, LLC
• Las Cruces Emergency Medical Associates Inc
• Las Cruces Endodontics
• Las Cruces Endoscopy, LLC (Endoscopy Center of Las Cruces)

• General Practice Dentistry in Las Cruces, NM
• Providers in Las Cruces, 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 Dec 15, 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.