LAS BRISAS ENTERPRISES, LLC – NPI #1396243390
Clinic/Center

LAS BRISAS ENTERPRISES, LLC is an AHC clinic located in GRANTS, NM. NPPES has assigned the NPI number 1396243390 to LAS BRISAS ENTERPRISES, LLC on January 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was last updated on May 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAS BRISAS ENTERPRISES, LLC below.

NPI Profile for
LAS BRISAS ENTERPRISES, LLC

NPI Number
1396243390
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAS BRISAS ENTERPRISES, LLC
Primary location
1209 BONITA AVE SUITE A
GRANTS, NM 87020
Phone: (505) 285-3443 Fax: (505) 287-3418
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RACHELLE GALINDO
OFFICE MANAGER
Phone: (505) 285-3443
Updated
Certification Date
May 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAS BRISAS ENTERPRISES, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNM1659362333
medicaidNM1104898840
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.