Santa Fe Dentist Office, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANTA FE DENTIST OFFICE, LLC

Doing business as

Santa Fe Dentist Office

Practice address

5131 Main Street
101
Santa Fe, NM 87507

Phone

(505) 209-9080

Fax

(505) 750-9982

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kelley Hollingsworth Ryals, DDS

Title

Owner Dentist

Phone

(505) 209-9080

Specialties & licenses 1

Addresses

Other names 1

• Santa Fe Dentist Office Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Joseph McDermott, DMD

  • Dentist
  • Santa Fe, NM
  • NPI 1285741447

  General Practice

  NPD (past)
• Kathryn Susanne Wynne, DDS

  • Dentist
  • Santa Fe, NM
  • NPI 1073167789
  NPD (past)

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1982062048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 MAIN STREET",
            "address_2": "101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-209-9080",
            "fax_number": "505-750-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE DENTIST OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH RYALS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "505-209-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Fe Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santa Fe Caregiving Company LLC (CareCo - The Caregiving Company)
• Santa Fe Children's Dentistry
• Santa Fe Community College Dental Clinic
• Santa Fe Community Guidance Center
• Santa Fe County
• Santa Fe Derm and Wellness
• Santa Fe Dialectical Behavior Therapy, LLC
• Santa Fe Family and Functional Medicine PC
• Santa Fe Family Dentistry & Orthodontics LLC
• Santa Fe Family Practice PC

• General Practice Dentistry in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.