Individual provider Active NPI

Angelica Lagasca, DMD

  • Dentist
  • Las Cruces, NM
National Provider Identifier
1043199664
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DB-2025-0196 Issued in NM
Practice address
575 S Alameda Blvd
Las Cruces, NM 88005-2818
Phone
(575) 528-6400
NPI assigned
Aug 28, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DB-2025-0196 NM Primary

Addresses

Primary practice location

575 S Alameda Blvd
Las Cruces, NM 88005-2818

Mailing address

1705 Brown Rd
Las Cruces, NM 88005-2758
Phone (904) 599-3634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013003450 NM Practitioner - Dentist 4385131556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Creighton University School of Dentistry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

385 Calle de Alegra
BLDG a
Las Cruces, NM 88005-3417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DB-2025-0196NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated CurrentSince Oct 6, 2025 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Oct 6, 2025 Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400

8600 Bataan Memorial E
Las Cruces, NM 88011
Phone (575) 373-9202

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • CO HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1043199664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BROWN RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052758",
            "telephone_number": "904-599-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052818",
            "telephone_number": "575-528-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGASCA",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DB-2025-0196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.