Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Picuris Medical Center

Organization Dentist · NPI 1598561318

Picuris Medical Center is a Dentist in Penasco, New Mexico. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
14

Practice location Address checks out

201 K-2 Buffalo Trail Rd
Penasco, NM 87553
Phone: (575) 999-5796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Hygienist Taxonomy 124Q00000X
Optometrist Taxonomy 152W00000X
Optician Taxonomy 156FX1800X
Registered Nurse Taxonomy 163W00000X
Licensed Practical Nurse Taxonomy 164W00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Occupational Therapist Taxonomy 225X00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Clinic/Center Taxonomy 261Q00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Taxonomy 332800000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1598561318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Taylor Chacon — Clinical Practice Manager · (505) 927-0918
NPI enumeratedFebruary 21, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing addressPo Box 127, 201 K 2 Buffalo Trail Rd, Penasco, NM 87553-0127

Other providers in Penasco