EASTERN NEW MEXICO ENDODONTICS, PC
NPI 1093261455
Clinic/Center - Dental in Clovis, NM

Active since August 26, 2016
2000 W 21ST ST, SUITE L1, CLOVIS, NM 88101(575) 762-8000(575) 763-0418 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastern New Mexico Endodontics, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN NEW MEXICO ENDODONTICS, PC (NPI 1093261455) is a healthcare organization registered as a dental in Clovis, New Mexico and active in the NPI registry since August 2016. The organization lists Chad Ricky Southard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093261455
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEASTERN NEW MEXICO ENDODONTICS, PC
Location Address2000 W 21ST ST, SUITE L1Clovis, NM 88101-4087
Mailing Address2000 W 21st St, Suite L1Clovis, NM 88101-4087 · (575) 762-8000 · Fax (575) 763-0418
Fax(575) 763-0418
Organization SubpartNo
Authorized OfficialChad Ricky SouthardAdministrator · (806) 797-4455
Enumeration DateAugust 26, 2016
NPI 1093261455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2000 W 21ST ST, Clovis, NM 88101

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Clinic/Center (Primary Care)
2000 W 21ST ST, SUITE E3
CLOVIS, NM 88101
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern New Mexico Endodontics, PC's NPI number?

The NPI number for Eastern New Mexico Endodontics, PC is 1093261455. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Eastern New Mexico Endodontics, PC located?

Eastern New Mexico Endodontics, PC is located at 2000 W 21st St Suite L1, Clovis, NM 88101. The listed phone number is (575) 762-8000.

What is Eastern New Mexico Endodontics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eastern New Mexico Endodontics, PC was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.