New Mexico Professional Dental Associates, Inc
NPI 1255764650ActiveOrganization· Dentist, General Practice· Rio Rancho, NM
Dentist, General Practice in Rio Rancho, New Mexico, registered in NPPES in August 2013, part of New Mexico Professional Dental Associates, Inc. The authorized official on file is Kim Wilson, Credentialing Supervisor.
Overview
| NPI | 1255764650 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | New Mexico Professional Dental Associates, Inc |
| NPI issued | Aug 21, 2013 |
| Last updated in NPPES | Aug 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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