Active NPI
Joy Tucker Trigo, DDS
- Pediatric Dentistry
- Las Cruces, NM
National Provider Identifier
1376534032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1776
- Practice address
- 1201 Med Park Dr
Las Cruces, NM 88005-3240 - Phone
- (575) 647-4089
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1776 | NM | Primary |
Addresses
Primary practice location
1201 Med Park Dr
Las Cruces, NM 88005-3240
Mailing address
1201 Med Park Dr
Las Cruces, NM 88005-3240
Phone (575) 647-4089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26779862 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1776 | NM | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Tucker Trigo DDS Inc. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Las Cruces, NM
- NPI 1447548995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1376534032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MED PARK DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053240",
"telephone_number": "575-647-4089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MED PARK DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053240",
"telephone_number": "575-647-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIGO",
"first_name": "JOY",
"middle_name": "TUCKER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NM",
"license": "1776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26779862",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.