LISA J MEDINA RDH NPI 1093182446

NPI Information

  • NPI: 1093182446
  • Provider Name: LISA J MEDINA, RDH
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • Address: 2300 GRANDE BLVD SE
    RIO RANCHO, NM
    ZIP 87124
  • Phone: (505) 896-7100

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NPI Details

Lisa J Medina, RDH is a dental hygienist in Rio Rancho, NM. The provider is 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. Lisa J Medina, RDH NPI is 1093182446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 GRANDE BLVD SE
RIO RANCHO, NM
ZIP 87124-755
Phone: (505) 896-7100

The enumeration date for this NPI number is 9/1/2015 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental HygienistDH4346NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093182446MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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