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SIERRA BLANCA FAMILY MEDICINE PC
NPI 1992132500
Family Medicine in Ruidoso, NM

Active since September 27, 2013CLIA 32D0981705 · Waiver
208 PORR DR, RUIDOSO, NM 88345(575) 630-1214(575) 630-2083 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sierra Blanca Family Medicine Pc NPPES

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

SIERRA BLANCA FAMILY MEDICINE PC (NPI 1992132500) is a healthcare organization registered as a family medicine in Ruidoso, New Mexico and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Frank J Dimotta, Provider Owner, as its authorized official.

NPPES Registry Identity

NPI1992132500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSIERRA BLANCA FAMILY MEDICINE PC
Location Address208 PORR DRRuidoso, NM 88345-6713
Mailing Address208 Porr DrRuidoso, NM 88345-6713 · (575) 630-1214 · Fax (575) 630-2083
Phone(575) 630-1214
Fax(575) 630-2083
Organization SubpartNo
Authorized OfficialFrank J DimottaProvider Owner · (575) 630-1214
Enumeration DateSeptember 27, 2013
✔ NPI 1992132500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 2000-25
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
208 PORR DR, Ruidoso, NM 88345
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Other Identifiers 1

Medicaid72884NM

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0981705

Sierra Blanca Family Medicine · Ruidoso, NM
Active · expires Jan 3, 2027
CLIA Number32D0981705
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorFrank Dimotta
Laboratory Phone(575) 630-1214
Laboratory LocationSierra Blanca Family Medicine208 Porr Drive, Ruidoso, NM 88345
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. RITA ANN DICKINSON
Clinic/Center (Urgent Care)
208 PORR DR
RUIDOSO, NM 88345
Lincoln County (575) 630-1214
BEN HILL PASSMORE MD PA
Psychiatry & Neurology (Psychiatry)
208 PORR DR
RUIDOSO, NM 88345
Lincoln County (575) 937-3377
HEALTH CARE SOLUTIONS PA
Family Medicine
208 PORR DR
RUIDOSO, NM 88345
Lincoln County (575) 630-1214
DR. FRANK J DIMOTTA M.D.
Family Medicine
208 PORR DR
RUIDOSO, NM 88345
Lincoln County (575) 630-1214
CHRISTIE HAASE
Nurse Practitioner
208 PORR DR
RUIDOSO, NM 88345
Lincoln County (575) 630-1214

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 Sierra Blanca Family Medicine PC's NPI number?

The NPI number for Sierra Blanca Family Medicine PC is 1992132500. It was assigned to this organization in the NPPES registry on September 27, 2013.

Where is Sierra Blanca Family Medicine PC located?

Sierra Blanca Family Medicine PC is located at 208 Porr Dr, Ruidoso, NM 88345. The listed phone number is (575) 630-1214.

What is Sierra Blanca Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sierra Blanca Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0981705) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sierra Blanca Family Medicine PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Sierra Blanca Family Medicine PC 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 Sierra Blanca Family Medicine PC was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.