Organization Active NPI

Bryce Heiner, DMD, MD, LLC

Doing business as Oral Facial Surgery of New Mexico- Roswell

  • Oral and Maxillofacial Surgery (Dentist)
  • Roswell, NM
National Provider Identifier
1700797362
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BRYCE HEINER, DMD, MD, LLC
Doing business as
Oral Facial Surgery of New Mexico- Roswell
Practice address
3401 N Main St
Roswell, NM 88201-9766
Phone
(575) 623-5711
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BRYCE HEINER, DMD, MD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU

Addresses

Primary practice location

3401 N Main St
Roswell, NM 88201-9766

Mailing address

3401 N Main St
Roswell, NM 88201-9766
Phone (575) 623-5711

Other names 1

  • Oral Facial Surgery of New Mexico- Roswell Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1700797362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882019766",
            "telephone_number": "575-623-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882019766",
            "telephone_number": "575-623-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE HEINER, DMD, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYCE HEINER, DMD, MD, LLC",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Facial Surgery of New Mexico- Roswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.