770 Broadmoor Rio Rancho Professional LLC
NPI 1841890373ActiveOrganization· Dentist· Rio Rancho, NM
Dentist in Rio Rancho, New Mexico, registered in NPPES in October 2020. The authorized official on file is Amy Gamboa, Office Manager.
Overview
| NPI | 1841890373 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2020 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Oct 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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