Rio Rancho Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIO RANCHO SMILES, LLC

Doing business as

Rio Rancho Smiles

Practice address

1316 Jackie Rd SE Ste 200
Rio Rancho, NM 87124-1045

Phone

(718) 309-7310

NPI assigned

Mar 2, 2020

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jajung Yoon, DMD

Title

Owner

Phone

(718) 309-7310

Specialties & licenses 1

Addresses

Other names 1

• Rio Rancho Smiles Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1982238630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 200",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-994-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 200",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "718-309-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO RANCHO SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JAJUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-309-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoon@dentistloslunas.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1316 Jackie Rd SE Ste 200",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871241045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rio Rancho Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, 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 Jan 3, 2023; 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.