Abel Alfonso Gaytan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DB-2025-0095 Issued in NM

Practice address

2424 Louisiana Blvd NE Ste 501
Albuquerque, NM 87110-4361

Phone

(505) 348-1036

NPI assigned

Jun 2, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1144113630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 HOLLY AVE NE APT 1208",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223078",
            "telephone_number": "575-910-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 LOUISIANA BLVD NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104361",
            "telephone_number": "505-348-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "ABEL",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2025-0095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chakri Gavva, M.D.
• Monika Gawne, CSW
• Gay L Gustafson DPM PC
• Gay Pasley Enterprises
• Louise Gaylor
• Silvia Gayton
• Ana Gazashvili, LMHC
• Josip Gazic, MD
• Brahmaji Rao Gazzarapu, RPH
• GB Staffing LLC

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.