Organization Active NPI

Southwest Dental

  • Dental Clinic/Center
  • Rio Rancho, NM
National Provider Identifier
1851016125
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTHWEST DENTAL
Practice address
1137 Commercial Dr SE Ste 103
Rio Rancho, NM 87124-4658
Phone
(505) 896-9399
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Hamid RanjbaranNPI 1063943793
Title
President
Phone
(505) 908-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1137 Commercial Dr SE Ste 103
Rio Rancho, NM 87124-4658

Mailing address

1137 Commercial Dr SE Ste 103
Rio Rancho, NM 87124-4658
Phone (505) 896-9399

National Provider Directory

National Provider Directory

Locations

1137 Commercial Dr SE
Ste 103
Rio Rancho, NM 87124
Phone (505) 896-9399

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1851016125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 COMMERCIAL DR SE STE 103",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244658",
            "telephone_number": "505-896-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 COMMERCIAL DR SE STE 103",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244658",
            "telephone_number": "505-896-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "RANJBARAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-908-6110"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Nov 29, 2023; 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.