Individual provider Active NPI

Zachary Charles Riesenberger, D.D.S.

  • Dentist
  • Santa Fe, NM
National Provider Identifier
1437593373
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4174 Issued in NM
Practice address
2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112
Phone
(505) 982-9222
NPI assigned
Apr 22, 2013
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD4174 NM Primary
Dentist 122300000X NONE YET NM

Addresses

Primary practice location

2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112

Mailing address

6800 Vista del Norte Rd NE
721
Albuquerque, NM 87113-1311
Phone (585) 490-4135

Other practice location 1

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Zacharyr@buffalo.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730002501 NM Practitioner - Dentist 8527360544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD4174NMMDDentist
NONE YETNMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. CurrentSince Jun 15, 2024 Accepting new patients
Kpu Dental LLC CurrentSince Jun 22, 2021 Accepting new patients
First Choice Community Healthcare, Inc. Current Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince Jun 15, 2024 Accepting new patients
Richard S Parker DDS PC PastSince Jun 22, 2021 Accepting new patients

Locations

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

6900 Gonzales Rd SW
Ste G
Albuquerque, NM 87121

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

2019 Galisteo St
Ste L2
Santa Fe, NM 87505
Phone (505) 982-9222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1437593373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 VISTA DEL NORTE RD NE",
            "address_2": "721",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131311",
            "telephone_number": "585-490-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE L2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052112",
            "telephone_number": "505-982-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Centro Familiar Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871054592",
            "country_code": "US",
            "telephone_number": "505-873-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIESENBERGER",
        "first_name": "ZACHARY",
        "middle_name": "CHARLES",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4174",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "NONE YET",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Zacharyr@buffalo.edu",
            "affiliation": "N",
            "address_1": "2019 Galisteo St Ste L2",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875052112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.