OrganizationActive
Derrick Baca DDS LLC
NPI 1902214406 · General Practice Dentistry · Grants, NM
Derrick Baca DDS LLC is a General Practice Dentistry organization in Grants, NM (NPI 1902214406).
Provider details
- NPI number
- 1902214406
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Derrick Baca, General Dentist(505) 876-4034
- License
- DD3492 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1209 Bonita St
Grants, NM 87020-2103
Phone: (505) 876-4034
Fax: (505) 876-4036
Street-level locationGet directions
Mailing address
1209 Bonita St
Grants, NM 87020-2103
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2014-07-28
Frequently asked questions
- What is Derrick Baca DDS LLC's NPI number?
- Derrick Baca DDS LLC's National Provider Identifier (NPI) is 1902214406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derrick Baca DDS LLC?
- Derrick Baca DDS LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Derrick Baca DDS LLC located?
- Derrick Baca DDS LLC's practice location on file with NPPES is 1209 Bonita St, Grants, NM 87020-2103.
- What is Derrick Baca DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Derrick Baca DDS LLC is (505) 876-4034.
- Who is the authorized official for Derrick Baca DDS LLC?
- The authorized official listed on Derrick Baca DDS LLC's NPPES record is Derrick Baca, General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derrick Baca DDS LLC's NPI active?
- Yes — Derrick Baca DDS LLC's NPI (1902214406) is active in the NPPES registry as of the last update on 2014-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.