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NPI · 1912519067 · NPPES-sourced

100 South Bloomfield Professional, LLC

ActiveGeneral Practice Dentistry
NPI Number
1912519067
Type 2 · Organisation
Taxonomy Code
1223G0001X
Contact
(505) 632-3344
Primary practice line
Last Updated
Enumerated
Primary practice addressNM · 87413-6242
100 S 1st StBloomfield, NM 87413-6242
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About this NPIWhat this record shows.

NPI 1912519067 is registered to 100 South Bloomfield Professional, LLC, a healthcare organisation classified as "General Practice Dentistry" and located at 100 S 1st St in Bloomfield, New Mexico. The organisation's authorised official is Peter Grumbos. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans 100 South Bloomfield Professional, LLC accepts. To confirm in-network status with your specific health plan, contact 100 South Bloomfield Professional, LLC directly at (505) 632-3344.

Frequently asked

Yes. NPI 1912519067 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (505) 632-3344.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. 100 South Bloomfield Professional, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther General Practice Dentistry providers in New Mexico.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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