Organization Active NPI

Mountain View Pediatric Dentistry LLC

Doing business as Mountain View Pediatric Dentistry

  • Public Health Dentistry
  • Rio Rancho, NM
National Provider Identifier
1851182612
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MOUNTAIN VIEW PEDIATRIC DENTISTRY LLC
Doing business as
Mountain View Pediatric Dentistry
Practice address
1904 Wellspring Ave SE Ste 105
Rio Rancho, NM 87124-4888
Phone
(505) 415-0462
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Jennifer Archuleta
Title
Operations Manager
Phone
(505) 377-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1904 Wellspring Ave SE Ste 105
Rio Rancho, NM 87124-4888

Mailing address

1574 Lakeland GRV Apt 103
Monument, CO 80132-6264
Phone (505) 377-9909

Other names 1

  • Mountain View Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1904 Wellspring Ave SE
Ste 105
Rio Rancho, NM 87124
Phone (505) 415-0462

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1851182612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 LAKELAND GRV APT 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326264",
            "telephone_number": "505-377-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WELLSPRING AVE SE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244888",
            "telephone_number": "505-415-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "505-377-9909"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2025; 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.