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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- BRYCE HEINER, DMD, MD, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Las Cruces, NM
- NPI 1386955888
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.