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Raymond Broussard, DDS
NPI 1558478560 · Dentist · Rio Rancho, NM
Raymond Broussard, DDS is a Dentist provider in Rio Rancho, NM (NPI 1558478560).
Provider details
- NPI number
- 1558478560
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DD1745 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1724 Grande Blvd
Rio Rancho, NM 87124
Phone: (505) 896-0245
Fax: (505) 892-7579
Street-level locationGet directions
Mailing address
1724 Grande Blvd
Rio Rancho, NM 87124
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Raymond Broussard's NPI number?
- Raymond Broussard's National Provider Identifier (NPI) is 1558478560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raymond Broussard's specialty?
- Raymond Broussard is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Raymond Broussard located?
- Raymond Broussard's practice location on file with NPPES is 1724 Grande Blvd, Rio Rancho, NM 87124.
- What is Raymond Broussard's phone number?
- The practice phone number listed in the NPPES registry for Raymond Broussard is (505) 896-0245.
- Is Raymond Broussard's NPI active?
- Yes — Raymond Broussard's NPI (1558478560) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.