NORTHRISE DENTAL LLC
NPI 1437622503
Dentist - General Practice in Las Cruces, NM

Q: What is Northrise Dental LLC's NPI number?

The NPI number for Northrise Dental LLC is 1437622503. It was assigned to this organization in the NPPES registry on January 10, 2019. The provider is doing business as Jared Wallis DDS.

Q: What is Northrise Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 10, 2019

2540 N TELSHOR BLVD STE E, LAS CRUCES, NM 88011(575) 521-9375(575) 521-2637 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Northrise Dental Llc NPPES

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

NORTHRISE DENTAL LLC (NPI 1437622503), doing business as Jared Wallis Dds, is a healthcare organization registered as a general practice in Las Cruces, New Mexico and active in the NPI registry since January 2019. The organization lists Jared Wallis, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1437622503

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameNORTHRISE DENTAL LLC

Location Address2540 N TELSHOR BLVD STE ELas Cruces, NM 88011-8201

Mailing Address2540 N Telshor Blvd Ste ELas Cruces, NM 88011-8201 · (575) 521-9375 · Fax (575) 521-2637

Phone(575) 521-9375

Fax(575) 521-2637

Organization SubpartNo

Authorized OfficialJared WallisDentist/owner · (575) 521-9375

Enumeration DateJanuary 10, 2019

✔ NPI 1437622503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2540 N TELSHOR BLVD STE E, Las Cruces, NM 88011

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Other Names 1

Doing Business AsJared Wallis Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JARED S. WALLIS DDS

Dentist

2540 N TELSHOR BLVD STE E
LAS CRUCES, NM 88011

Doña Ana County (575) 521-9375

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 Northrise Dental LLC's NPI number?

The NPI number for Northrise Dental LLC is 1437622503. It was assigned to this organization in the NPPES registry on January 10, 2019. The provider is doing business as Jared Wallis DDS.

Where is Northrise Dental LLC located?

Northrise Dental LLC is located at 2540 N Telshor Blvd Ste E, Las Cruces, NM 88011. The listed phone number is (575) 521-9375.

What is Northrise Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northrise Dental LLC was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.