NPIMap

Organization Active NPI

Rio Grande Orthodontics LLC

Doing business as Rio Grande Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Alamos, NM
National Provider Identifier
1528690914
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RIO GRANDE ORTHODONTICS LLC
Doing business as
Rio Grande Orthodontics
Practice address
3250 Trinity Dr Ste a
Los Alamos, NM 87544-2226
Phone
(505) 662-4555
NPI assigned
Feb 4, 2020
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Devan VestNPI 1912239526
Title
Owner
Phone
(505) 662-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

3250 Trinity Dr Ste a
Los Alamos, NM 87544-2226

Mailing address

3250 Trinity Dr Ste a
Los Alamos, NM 87544-2226
Phone (505) 662-4555

Other practice location 1

3252 Cerrillos Rd Ste B
Santa Fe, NM 87507-3001
Phone (505) 919-8378

Other practice location 2

2100 Calle De La Vuelta Unit B102
Santa Fe, NM 87505-4814
Phone (505) 983-5000

Other practice location 3

1335 Gusdorf Rd Ste A
Taos, NM 87571-5206
Phone (575) 776-4234

Other names 1

  • Rio Grande Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Calle de la Vuelta
Unit B102
Santa Fe, NM 87505
Phone (505) 983-5000

3252 Cerrillos Rd
Ste B
Santa Fe, NM 87507
Phone (505) 919-8378

1335 Gusdorf Rd
Ste A
Taos, NM 87571
Phone (505) 751-9333

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1528690914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 TRINITY DR STE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442226",
            "telephone_number": "505-662-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 TRINITY DR STE A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442226",
            "telephone_number": "505-662-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3252 Cerrillos Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073001",
            "country_code": "US",
            "telephone_number": "505-919-8378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Calle De La Vuelta Unit B102",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054814",
            "country_code": "US",
            "telephone_number": "505-983-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 Gusdorf Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875715206",
            "country_code": "US",
            "telephone_number": "575-776-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIO GRANDE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-662-4555"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Grande Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.