Bianca Michelle Luna-Ruiz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DB-2024-0075 Issued in NM

Practice address

125 Chaparrel Blvd NW
Deming, NM 88030-8629

Phone

(575) 546-4800

Fax

(575) 546-0685

NPI assigned

Jun 26, 2023

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ben Archer Health Center

  • Federally Qualified Health Center (FQHC)
  • Truth Or Consequences, NM
  • NPI 1871528505
  Medicare reassignment NPD
• Ben Archer Health Center

  dba Ben Archer Health Center Deming School Base

  • Federally Qualified Health Center (FQHC)
  • Deming, NM
  • NPI 1194443135
  NPD
• Ben Archer Health Center

  • Federally Qualified Health Center (FQHC)
  • Deming, NM
  • NPI 1205861283
  NPD
• Tempe Modern Dentistry, LLP

  dba Tempe Modern Dentistry

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1962703496
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1902582679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "87937",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHAPARREL BLVD NW",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880308629",
            "telephone_number": "575-546-4800",
            "fax_number": "575-546-0685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 690",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NM",
            "postal_code": "880290690",
            "country_code": "US",
            "telephone_number": "575-531-2165",
            "fax_number": "575-531-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA-RUIZ",
        "first_name": "BIANCA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011868",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DB-2024-0075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylou H Lozano, COMMUNITY SUPPORT SP
• Ernestina Rodriguez Luera CSW
• Katherine Marie Luera
• Luna Emergency Group LLC
• Luna Wellness & Rehabilitation LLC
• Louis Jose Luna, LBSW
• Velia Luna I, CNP
• John Edward Lundy, MD
• Lauren C Lustek, MS, CCC-SLP
• Malia Lynch, LMHC

• Dentist in Deming, NM
• Providers in Deming, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.