NPIMap

Organization Active NPI

Patrick M. Pacheco, DDS,PC

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1366501116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1073 Issued in NM
Legal business name
PATRICK M. PACHECO, DDS,PC
Practice address
1406 Luisa St
Suite 1
Santa Fe, NM 87505-4012
Phone
(505) 988-5850
Fax
(505) 820-7581
NPI assigned
Dec 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick M. Pacheco, DDSNPI 1568682243
Title
Dentist
Phone
(505) 988-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1073 NM Primary

Addresses

Primary practice location

1406 Luisa St
Suite 1
Santa Fe, NM 87505-4012

Mailing address

1406 Luisa St
Suite 1
Santa Fe, NM 87505-4012
Phone (505) 988-5850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366501116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 LUISA ST",
            "address_2": "SUITE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054012",
            "telephone_number": "505-988-5850",
            "fax_number": "505-820-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 LUISA ST",
            "address_2": "SUITE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054012",
            "telephone_number": "505-988-5850",
            "fax_number": "505-820-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M. PACHECO, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-988-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.