PUEBLO OF ISLETA
NPI 1225158348
Dentist - Dental Public Health in Isleta, NM
About Pueblo Of Isleta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUEBLO OF ISLETA (NPI 1225158348), doing business as Pueblo Of Isleta Dental Clinic, is a healthcare organization registered as a dental public health in Isleta, New Mexico and active in the NPI registry since March 2007. The organization lists Kimberly Pohl, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pueblo Of Isleta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Pueblo Of Isleta, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 24Isleta, NM 87022
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pueblo Of Isleta's NPI number?
The NPI number for Pueblo Of Isleta is 1225158348. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Pueblo of Isleta Dental Clinic.
Where is Pueblo Of Isleta located?
Pueblo Of Isleta is located at 01 Sagebrush Rd, Isleta, NM 87022. The listed phone number is (505) 869-4863.
What is Pueblo Of Isleta's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.
Is Pueblo Of Isleta enrolled in Medicare?
Yes. Pueblo Of Isleta is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pueblo Of Isleta?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 11 Medicare specialties reassign their Medicare billing to Pueblo Of Isleta. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Clinical Social Worker (3) and Optometry (3). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pueblo Of Isleta was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Pueblo Of Isleta · NPI 1225158348
Dental Public Health organization in Isleta, New Mexico. Organization record, active in the CMS NPPES registry since March 30, 2007.
## Identity
- **NPI:** 1225158348 (Entity type: Organization)
- **Enumerated:** March 30, 2007
- **Primary specialty:** Dentist - Dental Public Health · taxonomy 1223D0001X
- **Also known as:** Pueblo of Isleta Dental Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kimberly Pohl, CEO
## Practice location
- **Address:** 01 SAGEBRUSH RD, Isleta, NM 87022-0000
- **Phone:** (505) 869-4863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Clinical Social Worker (3), Optometry (3); 2 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1225158348/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2026
- **Other identifiers:** Medicaid 55528309 (NM)
---
Source: [NPI Profile](https://npiprofile.com/npi/1225158348) · Data from the CMS NPPES public registry.