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NIRVANA LLC
NPI 1710137773
Dental Hygienist in Corrales, NM

Active since September 26, 2008
161 RAILCAR RD, CORRALES, NM 87048(505) 553-6850 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nirvana Llc NPPES

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

NIRVANA LLC (NPI 1710137773) is a healthcare organization registered as a dental hygienist in Corrales, New Mexico and active in the NPI registry since September 2008. The organization lists Julie Raye Fuller, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1710137773
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameNIRVANA LLC
Location Address161 RAILCAR RDCorrales, NM 87048-7909
Mailing Address161 Railcar RdCorrales, NM 87048-7909 · (505) 553-6850
Phone(505) 553-6850
Organization SubpartNo
Authorized OfficialJulie Raye FullerCo-owner · (505) 553-6850
Enumeration DateSeptember 26, 2008
✔ NPI 1710137773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Licenses✔ Licensed in NM · DH986✔ Licensed in NM · DH1235
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
161 RAILCAR RD, Corrales, NM 87048
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Other Identifiers 1

Medicaid65028066NM

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. JULIE RAYE FULLER RDH
Dental Hygienist
161 RAILCAR RD
CORRALES, NM 87048
Sandoval County (505) 553-6850
MS. LOU A. WEINGARDT RDH
Dental Hygienist
161 RAILCAR RD
CORRALES, NM 87048
Sandoval County (505) 553-6850

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 Nirvana LLC's NPI number?

The NPI number for Nirvana LLC is 1710137773. It was assigned to this organization in the NPPES registry on September 26, 2008.

Where is Nirvana LLC located?

Nirvana LLC is located at 161 Railcar Rd, Corrales, NM 87048. The listed phone number is (505) 553-6850.

What is Nirvana LLC's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Nirvana LLC was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.