Rio Grande Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1670 Issued in NM

Legal business name

RIO GRANDE DENTAL ASSOCIATES

Practice address

107 Plaza Garcia
#E-10
Taos, NM 87571-6256

Phone

(505) 758-0531

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Rivera, D.D.S.NPI 1134347735

Title

General Manager & Partner

Phone

(505) 758-0531

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael H Rivera, D.D.S.

  • Dentist
  • Taos, NM
  • NPI 1134347735
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578684205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PLAZA GARCIA",
            "address_2": "#E-10",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PLAZA GARCIA",
            "address_2": "#E-10",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716256",
            "telephone_number": "505-758-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL MANAGER & PARTNER",
        "authorized_official_telephone_number": "505-758-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa F Reynolds
• Kevin M Rhodus, CRNA
• Debbie Riddle, RN
• Marcos John Riddle
• Rio Grande Alcoholism Treatment Center Incorporated (Rio Grande Alcoholism Treatment Program, Inc.)
• Rio Grande Foot & Ankle Specialists LLC
• David Strait Rios, LCSW
• Vannesa Rivera Gonzalez
• Rachel Rivera Thomas
• Camille Rivera, ATC,LAT

• General Practice Dentistry in Taos, NM
• Providers in Taos, 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 Aug 22, 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.