Individual provider Active NPI

Ashok Neupane, DMD

  • General Practice Dentistry
  • Roswell, NM
National Provider Identifier
1972232767
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD5625 Issued in NM
Practice address
3751 N Main St Ste D
Roswell, NM 88201-0300
Phone
(575) 622-5835
NPI assigned
Jun 7, 2022
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD5625 NM Primary
Dentist 122300000X D012768 AZ

Addresses

Primary practice location

3751 N Main St Ste D
Roswell, NM 88201-0300

Mailing address

12321 W Glenn Dr
Glendale, AZ 85307-1807
Phone (361) 537-9284

Other practice location 1

17081 W Greenway Rd
Ste 120
Suprise, AZ 85338
Phone (623) 546-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.kidskarepc.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230131003596 NM Order and Referring Only - DentistPractitioner - Dentist 5496126328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidskare P.C. General Practice PastSince Jun 12, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1972232767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12321 W GLENN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853071807",
            "telephone_number": "361-537-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 N MAIN ST STE D",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010300",
            "telephone_number": "575-622-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17081 W Greenway Rd",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Suprise",
            "state": "AZ",
            "postal_code": "85338",
            "country_code": "US",
            "telephone_number": "623-546-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "ASHOK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5625",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.kidskarepc.com",
            "affiliation": "N",
            "endpointDescription": "dental office website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "resource for patient",
            "address_1": "3751 N Main St Ste D",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882010300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.