Active NPI
Las Brisas Enterprises, LLC
Doing business as A to Z Childrens Dentistry
- Dental Clinic/Center
- Grants, NM
National Provider Identifier
1396243390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LAS BRISAS ENTERPRISES, LLC
- Doing business as
- A to Z Childrens Dentistry
- Practice address
- 1209 Bonita Ave Suite a
Grants, NM 87020 - Phone
- (505) 285-3443
- Fax
- (505) 287-3418
- NPI assigned
- Jan 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachelle R Galindo
- Title
- Office Manager
- Phone
- (505) 285-3443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1209 Bonita Ave Suite a
Grants, NM 87020
Mailing address
1209 Bonita Ave Suite a
Grants, NM 87020
Phone (505) 285-3443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104898840 | Medicaid | NM | |
| 1659362333 | Medicaid | NM |
Other names 1
- A to Z Childrens Dentistry
National Provider Directory
National Provider DirectoryLocations
805 E High St
Grants, NM 87020
Phone (505) 876-1065
1209 Bonita St
Ste A
Grants, NM 87020
Phone (505) 285-3443
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Albuquerque, NM
- NPI 1407919541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1396243390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 BONITA AVE SUITE A",
"city": "GRANTS",
"state": "NM",
"postal_code": "87020",
"telephone_number": "505-285-3443",
"fax_number": "505-287-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 BONITA AVE SUITE A",
"city": "GRANTS",
"state": "NM",
"postal_code": "87020",
"telephone_number": "505-285-3443",
"fax_number": "505-287-3418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS BRISAS ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-25",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "GALINDO",
"authorized_official_first_name": "RACHELLE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "505-285-3443",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104898840",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659362333",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A to Z Childrens Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.