Encanto Dental Group of New Mexico LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ENCANTO DENTAL GROUP OF NEW MEXICO LLC

Practice address

3340 Rinconada Blvd Ste 2a
Las Cruces, NM 88011-7194

Phone

(575) 382-2054

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Elliss, DMD

Title

Owner/Doctor

Phone

(702) 557-6423

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Joselyn Ilanna Espinoza, RDH

  • Dental Hygienist
  • Las Cruces, NM
  • NPI 1114263266
  NPD
• Casandra Alicia Barba

  • General Practice Dentistry
  • Deming, NM
  • NPI 1578355566
  NPD (past)
• Juan Carlos Cobos, DMD

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1184389454
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1467168633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052999",
            "telephone_number": "575-524-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 RINCONADA BLVD STE 2A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117194",
            "telephone_number": "575-382-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 S Main St",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880052999",
            "country_code": "US",
            "telephone_number": "575-524-8527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880304949",
            "country_code": "US",
            "telephone_number": "575-546-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115049",
            "country_code": "US",
            "telephone_number": "575-522-0454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 1st St Ste J",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883106511",
            "country_code": "US",
            "telephone_number": "575-434-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENCANTO DENTAL GROUP OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "ELLISS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "702-557-6423",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Emerick, CNP
• Denise Emery, LCSW
• Osasere Emovon
• En Su Casa Home Health LLC (En Su Casa Home Health)
• Encanto Dental Group of New Mexico II LLC
• Kimberly Ann Encapera, M.D.
• Godfrey L Encarnado
• Memoria Encee
• Enchantedjourneytherapeutics, LLC
• Enchantment Aviation (Southwest Med Evac)

• General Practice Dentistry in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.