NPIMap

Organization Active NPI

Dental Partner's of Rio Rancho, LLC

Doing business as Comfort Dental of Rio Rancho, LLC

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1932653458
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL PARTNER'S OF RIO RANCHO, LLC
Doing business as
Comfort Dental of Rio Rancho, LLC
Practice address
2003 Southern Blvd SE
Suite 133 & 134
Albuquerque, NM 87124-3751
Phone
(505) 221-5740
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. Jeff Greene
Title
Member
Phone
(505) 400-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

2003 Southern Blvd SE
Suite 133 & 134
Albuquerque, NM 87124-3751

Mailing address

2003 Southern Blvd SE
Suite 133 & 134
Albuquerque, NM 87124-3751
Phone (505) 221-5740

Other names 1

  • Comfort Dental of Rio Rancho, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1932653458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SOUTHERN BLVD SE",
            "address_2": "SUITE 133 & 134",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871243751",
            "telephone_number": "505-221-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 SOUTHERN BLVD SE",
            "address_2": "SUITE 133 & 134",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871243751",
            "telephone_number": "505-221-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARTNER'S OF RIO RANCHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-400-3739",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental of Rio Rancho, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.