Active NPI
Dentists of Rio Rancho, LLC
- General Practice Dentistry
- Rio Rancho, NM
National Provider Identifier
1992647291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.