NPIMap

Organization Active NPI

Bryce Heiner, DMD, MD, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Cruces, NM
National Provider Identifier
1386955888
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BRYCE HEINER, DMD, MD, LLC
Practice address
2103 Telshor CT
Las Cruces, NM 88011-8245
Phone
(575) 522-8800
NPI assigned
Jun 29, 2010
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Dr. Bryce Heiner, DMD, MDNPI 1013186584
Title
Ceo
Phone
(575) 522-8800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DD3068 NM

Addresses

Primary practice location

2103 Telshor CT
Las Cruces, NM 88011-8245

Mailing address

2103 Telshor CT
Las Cruces, NM 88011-8245
Phone (575) 522-8800

Other practice location 1

3401 N Main St
Roswell, NM 88201-9766
Phone (575) 623-5711

Other identifiers 1

IdentifierTypeStateIssuer
1386955888OtherGROUP NPI

National Provider Directory

National Provider Directory

Locations

2103 Telshor Ct
Las Cruces, NM 88011
Phone (505) 522-8800

3401 N Main St
Roswell, NM 88201
Phone (575) 623-5711

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1386955888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 TELSHOR CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118245",
            "telephone_number": "575-522-8800",
            "fax_number": "575-522-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 TELSHOR CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118245",
            "telephone_number": "575-522-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Main St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882019766",
            "country_code": "US",
            "telephone_number": "575-623-5711",
            "fax_number": "575-622-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYCE HEINER, DMD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "HEINER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-522-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD3068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1386955888",
            "state": null
        }
    ],
    "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 May 27, 2026; 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.