Active NPI
Pamela M Baca, DDS
- General Practice Dentistry
- Las Vegas, NM
National Provider Identifier
1891788246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD1719
- Practice address
- 3031 Hot Springs Blvd
Las Vegas, NM 87701-4120 - Phone
- (505) 425-6677
- Fax
- (505) 425-9638
- NPI assigned
- Aug 31, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD1719 | NM | Primary |
Addresses
Primary practice location
3031 Hot Springs Blvd
Las Vegas, NM 87701-4120
Mailing address
111 N Railroad Ave
P.O. Box 158
Espanola, NM 87532-2627
Phone (505) 753-7218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80044 | Medicaid | NM | |
| 9177330 | Other | NM | DORAL |
Other names 1
- Dr. Pamela M Baca
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
| License | State | Type | Specialty |
|---|---|---|---|
| DD1719 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1780689034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891788246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N RAILROAD AVE",
"address_2": "P.O. BOX 158",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322627",
"telephone_number": "505-753-7218",
"fax_number": "505-753-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 HOT SPRINGS BLVD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014120",
"telephone_number": "505-425-6677",
"fax_number": "505-425-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "PAMELA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD1719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80044",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9177330",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "BACA",
"middle_name": "M",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.