Encanto Dental Group of New Mexico II LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ENCANTO DENTAL GROUP OF NEW MEXICO II LLC

Practice address

3340 Rinconada Blvd Ste 2B
Las Cruces, NM 88011-7194

Phone

(575) 382-2105

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Elliss, DMD

Title

Owner/Doctor

Phone

(702) 557-6423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1376259515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052999",
            "telephone_number": "575-524-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 RINCONADA BLVD STE 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117194",
            "telephone_number": "575-382-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCANTO DENTAL GROUP OF NEW MEXICO II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "ELLISS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "702-557-6423",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Hassan a. Elwidaa, M.D.
• Katherine Emerick, CNP
• Denise Emery, LCSW
• Osasere Emovon
• En Su Casa Home Health LLC
• Encanto Dental Group of New Mexico LLC
• Kimberly Ann Encapera, M.D.
• Godfrey L Encarnado
• Memoria Encee
• Enchantedjourneytherapeutics, LLC

• 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 Jan 30, 2023; 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.