Dentist
PICURIS MEDICAL CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1598561318 · enumerated 2025-02-21 · record updated 2025-11-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JESSICA TAYLOR CHACON, Clinical Practice Manager · (505) 927-0918
Addresses and phones
- Mailing address PO BOX 127, 201 K 2 BUFFALO TRAIL RD, PENASCO, NM, 87553-0127 (505) 927-0918 Google Maps Apple Maps OpenStreetMap
- Practice location 201 K-2 BUFFALO TRAIL ROAD, PENASCO, NM, 87553 (575) 999-5796 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics 208000000X
- Dental Hygienist 124Q00000X
- Optometrist 152W00000X
- Technician/Technologist, Optician 156FX1800X
- Community/Behavioral Health 251S00000X
- Nurse Practitioner 363L00000X
- Registered Nurse 163W00000X
- Licensed Practical Nurse 164W00000X
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- Pharmacy, Community/Retail Pharmacy 3336C0003X
- Family Medicine 207Q00000X
- Occupational Therapist 225X00000X
- Clinic/Center 261Q00000X
- Dentist 122300000X · Primary
In this directory
Locations and evidence
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Practice location
PENASCO, NM, 87553
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.