Active NPI
Rio Dental and Orthodontics LLC
- Dentist
- Rio Rancho, NM
National Provider Identifier
1649646175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- RIO DENTAL AND ORTHODONTICS LLC
- Practice address
- 3634 Rio Rancho Blvd Ste 102
Rio Rancho, NM 87144-7653 - Phone
- (505) 404-3282
- Fax
- (505) 867-7875
- NPI assigned
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Pu
- Title
- VP of Finance
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
3634 Rio Rancho Blvd Ste 102
Rio Rancho, NM 87144-7653
Mailing address
PO Box 734753
Dallas, TX 75373-4753
Phone (972) 869-3789
National Provider Directory
National Provider DirectoryLocations
3634 Rio Rancho Blvd
Ste 101
Rio Rancho, NM 87144
3634 Rio Rancho Blvd
Ste 102
Rio Rancho, NM 87144
Phone (505) 404-3282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1649646175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734753",
"city": "DALLAS",
"state": "TX",
"postal_code": "753734753",
"telephone_number": "972-869-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3634 RIO RANCHO BLVD STE 102",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871447653",
"telephone_number": "505-404-3282",
"fax_number": "505-867-7875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO DENTAL AND ORTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "PU",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.