Organization Active NPI

Dentists of Rio Rancho, LLC

  • General Practice Dentistry
  • Rio Rancho, NM
National Provider Identifier
1992647291
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTS OF RIO RANCHO, LLC
Practice address
1105 Rio Rancho Blvd SE
Rio Rancho, NM 87124-1034
Phone
(505) 465-8864
Fax
(505) 544-2939
NPI assigned
Apr 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Michael Ross Conner, DDS
Title
Owner
Phone
(505) 465-8864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1105 Rio Rancho Blvd SE
Rio Rancho, NM 87124-1034

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (715) 845-8890

Other names 1

  • Dentists of Rio Rancho Doing business as

National Provider Directory

National Provider Directory

Locations

1105 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 465-8864

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1992647291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "715-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 RIO RANCHO BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241034",
            "telephone_number": "505-465-8864",
            "fax_number": "505-544-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF RIO RANCHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-465-8864",
        "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": "Dentists of Rio Rancho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.