Organization Active NPI

Las Brisas Enterprises, LLC

Doing business as A to Z Childrens Dentistry

  • Dental Clinic/Center
  • Grants, NM
National Provider Identifier
1396243390
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on May 7, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104898840MedicaidNM
1659362333MedicaidNM

Other names 1

  • A to Z Childrens Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.