Individual provider Active NPI

Holli Michelle Perea, RDH

  • Dental Hygienist
  • Ruidoso, NM
National Provider Identifier
1740145879
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH5253 Issued in NM
Practice address
200 Sudderth Dr Ste C
Ruidoso, NM 88345-5908
Phone
(575) 286-4321
Fax
(575) 286-4321
NPI assigned
Dec 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH5253 NM Primary

Addresses

Primary practice location

200 Sudderth Dr Ste C
Ruidoso, NM 88345-5908

Mailing address

200 Sudderth Dr Ste C
Ruidoso, NM 88345-5908
Phone (575) 286-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH5253NMMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Saguaro Dental Hygiene LLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

200 Sudderth Dr
Ste C
Ruidoso, NM 88345
Phone (575) 258-4698

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1740145879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SUDDERTH DR STE C",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883455908",
            "telephone_number": "575-286-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SUDDERTH DR STE C",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883455908",
            "telephone_number": "575-286-4321",
            "fax_number": "575-286-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA",
        "first_name": "HOLLI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.