Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LEROY BACA DDS
NPI 1154314177
Dentist in T Or C, NM

Q: What is Leroy Baca's NPI number?

The NPI number for Leroy Baca is 1154314177. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Leroy Baca's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Leroy Baca was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since August 24, 2005PECOS Enrolled

1960 N DATE ST, T OR C, NM 87901(505) 267-3088(505) 267-1747 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leroy Baca Dds NPPES

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

LEROY BACA DDS (NPI 1154314177) is an individual dentist in T Or C, New Mexico, licensed in New Mexico (DD1705) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154314177

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameLEROY BACACredential: DDS

Location Address1960 N DATE STT Or C, NM 87901-3701

Mailing Address255 Hwy 187, P.o Box 370Hatch, NM 87937-0370 · (505) 267-3088 · Fax (505) 267-1747

Phone(505) 267-3088

Fax(505) 267-1747

Sole ProprietorNo

Enumeration DateAugust 24, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1154314177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD1705

Definition

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.

1960 N DATE ST, T Or C, NM 87901

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Other Identifiers 1

Medicaid88079NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leroy Baca Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

CAROL RENNINGER LISW

Counselor (Mental Health)

1960 N DATE ST
T OR C, NM 87901

Sierra County (505) 267-3088

GERALDINE CANDELARIA

Community Health Worker

1960 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901

Sierra County (575) 894-7662

SATYA ANIKE MUHAMMAD NURSE PRACTITIONER

Nurse Practitioner

1960 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901

Sierra County (575) 894-7662

DR. EDGAR JANETZKO M.D.

Internal Medicine

1960 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901

Sierra County (575) 894-7662

CANDACE DAVIS CNP

Nurse Practitioner (Family)

1960 N DATE ST
T OR C, NM 87901

Sierra County (575) 894-7662

CINDY MARIE RUIZ LCSW

Social Worker (Clinical)

1960 N DATE ST
TRUTH OR CONSEQUENCES, NM 87901

Sierra County (575) 894-7662

VERNA DEAL

Dental Hygienist

1960 N DATE ST
T OR C, NM 87901

Sierra County (505) 894-7662

MYRNA L POLICARPIO DDS

Dentist (General Practice)

1960 N DATE ST
T OR C, NM 87901

Sierra County (575) 894-7662

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 Leroy Baca's NPI number?

The NPI number for Leroy Baca is 1154314177. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Leroy Baca located?

Leroy Baca practices at 1960 N Date St, T Or C, NM 87901. The listed phone number is (505) 267-3088.

What is Leroy Baca's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Leroy Baca enrolled in Medicare?

Yes. Leroy Baca is registered in the Medicare PECOS enrollment system.

What insurance does Leroy Baca accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Leroy Baca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leroy Baca was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.