Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Westside Pediatric Dentistry

Q: What is the NPI number for Westside Pediatric Dentistry?

The NPI for Westside Pediatric Dentistry is 1790808111, a Type 2 (organization) record in the CMS NPPES registry.

Pediatric Dentistry in Rio Rancho, NM · enumerated 2007 · authorized official Raymond Broussard, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790808111

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Registry record

Entity type Organization (Type 2)

Legal business name Westside Pediatric Dentistry

Practice address 1724 Grande Blvd Se, Rio Rancho, NM, 87124

Phone (505) 896-0245

Fax (505) 892-7579

Enumeration date Apr 9, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License DD1745 (NM) Primary

Authorized official

Name Raymond Broussard

Title Owner

Phone (505) 896-0245

Other identifiers

Identifier	Type	State	Issuer
83918	Medicaid	NM	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Westside Pediatric Dentistry?

NPPES lists Raymond Broussard (Owner) as the authorized official for this organization.

What is the NPI number for Westside Pediatric Dentistry?

The NPI for Westside Pediatric Dentistry is 1790808111, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.