Organization Active NPI

Rio Dental and Orthodontics LLC

  • Dentist
  • Rio Rancho, NM
National Provider Identifier
1649646175
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on May 18, 2022

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.