REYNALDO MOYCO (NPI# 1144316258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144316258 |
| Entity Type | Individual |
| Full Name | REYNALDO MOYCO |
| Credential | DDS |
| Practice Address |
4250 Cerrillos Rd Ste 1202 Box 29476 Santa Fe NM 87592-2000 |
| Mailing Address |
Po Box 29476 4250 Cerrillos Rd #1202 Santa Fe NM 87592-9476 |
| Practice Telephone | 5059824867 |
| Practice Fax Number | 5054248535 |
| Mailing Telephone | 5059824867 |
| Mailing Fax Number | 5054248535 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD3823 | NM | Dental Providers |
| N | 122300000X | Dentist | 27905 | CA | Dental Providers |
| Street Address |
4250 CERRILLOS RD STE 1202 BOX 29476 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87592-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392386 | Sohrab Ansari | Dentist | 4250 Cerrillos Rd Ste 1202, Santa Fe, NM 87507-0920 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326374596 | Andrea Romero | Counselor | 720 University, Las Vegas, NM 87592 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104115 | Eleonora Trujillo | Nurse Practitioner | 60 Balsa Rd, Santa Fe, NM 87508-8736 | 2020-11-04 |
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1750981973 | Sara Drake Harsh | Massage Therapist | 2074 Galisteo St Ste A5, Santa Fe, NM 87505-2104 | 2020-10-27 |
| 1356940498 | Paula Boody | Registered Nurse | 4721 S Tower Rd, Santa Fe, TX 77517-2515 | 2020-10-20 |
| 1477151116 | Lauren Jones Sparks | Nurse Practitioner | 9 Calle Venado, Santa Fe, NM 87506-0153 | 2020-10-14 |
| 1770181869 | Thomas Spencer Baldinger | Case Manager/Care Coordinator | 880b Chicoma Vis, Santa Fe, NM 87507-7671 | 2020-10-12 |
| 1457958001 | Denise De La Cruz | Behavior Technician | 3300 Siringo Rd, Santa Fe, NM 87507-5053 | 2020-10-07 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1427665934 | Karmela Bower | Behavior Technician | 2324 Calle Pacifica, Santa Fe, NM 87505-5504 | 2020-09-29 |
| 1619584182 | Marybeth Hallman | Counselor | 1219 Luisa St Ste 10, Santa Fe, NM 87505-4176 | 2020-09-28 |
| Find all providers in SANTA FE | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167789 | Kathryn Susanne Wynne | Dentist | 5131 Main St Ste 101, Santa Fe, NM 87507-2682 | 2019-07-31 |
| 1033770953 | Chad Joseph Davis | Dentist | 3811 Cerrillos Rd Ste 104, Santa Fe, NM 87507-4149 | 2019-06-21 |
| 1215428602 | Dylan Joseph Arens | Dentist | 550 Saint Michaels Dr # 2, Santa Fe, NM 87505-7604 | 2018-05-22 |
| 1215453212 | Sonia Henriquez Magruder | Dentist | 12920 Highway 6, Santa Fe, TX 77510-7678 | 2017-08-21 |
| 1376099499 | Dental Partners of Santa Fe LLC | Dentist | 3811 Cerrillos Rd, Suite 102, Santa Fe, NM 87507-4112 | 2016-08-29 |
| 1427394733 | New Mexico Professional Dental | Dentist | 806 Calle Mejia, Santa Fe, NM 87501-1405 | 2012-12-14 |
| 1730406026 | Morgan Family Dentistry, LLC | Dentist | 1442 S. St Francis, Suite G, Santa Fe, NM 87505 | 2010-04-26 |
| 1629305743 | M. Thomas Ashbrook, Dds, PC | Dentist | 2019 Galisteo St Ste N7, Santa Fe, NM 87505-2111 | 2009-11-10 |
| 1760637532 | Bonnie L Ruyle | Dentist | 2322 Calle Pava, Santa Fe, NM 87505-6320 | 2008-11-20 |
| 1811159023 | Jason Keith Chapman | Dentist | 4a Florence Rd, Santa Fe, NM 87507-8559 | 2008-06-29 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.