NPIMap

Organization Active NPI

Brian K Hatch, DMD PC

  • Pediatric Dentistry
  • Rio Rancho, NM
National Provider Identifier
1477093094
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DD4599 Issued in NM
Legal business name
BRIAN K HATCH, DMD PC
Practice address
1904 Wellspring Ave SE
#105
Rio Rancho, NM 87124-4888
Phone
(505) 415-0462
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Frances Wharton
Title
Office Manager
Phone
(505) 892-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DD4599 NM Primary

Addresses

Primary practice location

1904 Wellspring Ave SE
#105
Rio Rancho, NM 87124-4888

Mailing address

1904 Wellspring Ave SE
#105
Rio Rancho, NM 87124-4888
Phone (505) 415-0462

Other names 1

  • Mountain View Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1904 Wellspring Ave SE
#105
Rio Rancho, NM 87124
Phone (505) 415-0462

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1477093094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WELLSPRING AVE SE",
            "address_2": "#105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244888",
            "telephone_number": "505-415-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WELLSPRING AVE SE",
            "address_2": "#105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244888",
            "telephone_number": "505-415-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K HATCH, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-892-9893"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "DD4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.