PICURIS MEDICAL CENTER
NPI 1598561318
Dentist in Penasco, NM
NPI Status: Active since February 21, 2025
Contact Information
201 K-2 BUFFALO TRAIL ROAD
PENASCO, NM
ZIP 87553
Phone: (575) 999-5796
- Organization
- Dentist
- CLIA Number: 32D2320817
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 03-24-2027
About PICURIS MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Picuris Medical Center, a provider established in Penasco, New Mexico operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1598561318 assigned on February 2025. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated one year ago. Picuris Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jessica Taylor Chacon (Clinical Practice Manager)
- NPI
- 1598561318
- Provider Name
- PICURIS MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 201 K-2 BUFFALO TRAIL ROAD PENASCO, NM 87553
- Location Phone
- (575) 999-5796
- Mailing Address
- PO BOX 127 201 K 2 BUFFALO TRAIL RD PENASCO, NM 87553
- Mailing Phone
- (505) 927-0918
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-21-2025
- Last Update Date
- 11-17-2025
- Code Navigator
A dentist like Picuris Medical Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 124Q00000X | Dental Providers | Dental Hygienist | |
| 2 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 3 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | |
| 4 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 5 | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | |
| 6 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 7 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 8 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 9 | 251S00000X | Agencies | Community/Behavioral Health | |
| 10 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 11 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 12 | 3336C0003X | Suppliers | Pharmacy | |
| 13 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2320817
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- March 25, 2025
- Certificate Expiration Date
- March 24, 2027
- Laboratory Director
- ANITA PAIZ GOMEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Picuris Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1598561318, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598561318, enumerated as an "organization" on February 21, 2025.
The provider is located at 201 K-2 BUFFALO TRAIL ROAD PENASCO, NM 87553 and the phone number is (575) 999-5796.
Dentist with taxonomy code 122300000X.
