OrganizationActive
Pediatric Dental Specialist of New Mexico LLC
NPI 1154624401 · Dentist · Las Cruces, NM
Pediatric Dental Specialist of New Mexico LLC is a Dentist organization in Las Cruces, NM (NPI 1154624401).
Provider details
- NPI number
- 1154624401
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Peter Hayes, Pediatric Dental Specialist(575) 621-0800
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2450 South Telshor
Memorial Medical Hospital
Las Cruces, NM 88011-7594
Phone: (575) 621-0800
Fax: (575) 373-3091
Street-level locationGet directions
Mailing address
5475 Remington Road
Las Cruces, NM 88011-7594
Registry dates
- Enumerated
- 2010-12-08
- Last updated
- 2010-12-08
Frequently asked questions
- What is Pediatric Dental Specialist of New Mexico LLC's NPI number?
- Pediatric Dental Specialist of New Mexico LLC's National Provider Identifier (NPI) is 1154624401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Specialist of New Mexico LLC?
- Pediatric Dental Specialist of New Mexico LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pediatric Dental Specialist of New Mexico LLC located?
- Pediatric Dental Specialist of New Mexico LLC's practice location on file with NPPES is 2450 South Telshor, Las Cruces, NM 88011-7594.
- What is Pediatric Dental Specialist of New Mexico LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Specialist of New Mexico LLC is (575) 621-0800.
- Who is the authorized official for Pediatric Dental Specialist of New Mexico LLC?
- The authorized official listed on Pediatric Dental Specialist of New Mexico LLC's NPPES record is Peter Hayes, Pediatric Dental Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Specialist of New Mexico LLC's NPI active?
- Yes — Pediatric Dental Specialist of New Mexico LLC's NPI (1154624401) is active in the NPPES registry as of the last update on 2010-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.