OrganizationActive
Wildwind Dental
NPI 1629290283 · Dentist · Los Alamos, NM
Wildwind Dental is a Dentist organization in Los Alamos, NM (NPI 1629290283).
Provider details
- NPI number
- 1629290283
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ellen Ballard, President Wildwind Dental(505) 672-2020
- License
- 1668 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
111 Longview Drive
Suite B3
Los Alamos, NM 87544
Phone: (505) 672-2020
Fax: (505) 672-2020
Street-level locationGet directions
Mailing address
203 Rio Bravo
Los Alamos, NM 87544
Other names (DBA / former)
- Doing business as
- Ellen Ballard DDS
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Wildwind Dental's NPI number?
- Wildwind Dental's National Provider Identifier (NPI) is 1629290283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildwind Dental?
- Wildwind Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Wildwind Dental located?
- Wildwind Dental's practice location on file with NPPES is 111 Longview Drive, Los Alamos, NM 87544.
- What is Wildwind Dental's phone number?
- The practice phone number listed in the NPPES registry for Wildwind Dental is (505) 672-2020.
- Who is the authorized official for Wildwind Dental?
- The authorized official listed on Wildwind Dental's NPPES record is Ellen Ballard, President Wildwind Dental. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildwind Dental's NPI active?
- Yes — Wildwind Dental's NPI (1629290283) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.