Chaficath Tatiana Aponte, D.D.S
Individual provider Active NPI Dentist · Gallup, NM
NPI 1376790725 · NPPES record last updated Sep 28, 2009
Key facts
- NPI
- 1376790725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 57324 (CA)
- Practice address
- 516 Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1560
- Fax
- (505) 722-1565
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63088 | CA | MD | Dental Assistant |
| 57324 | CA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57324 | CA | Yes |
| Dental Assistant | 126800000X | 63088 | CA |
Addresses
Primary practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
P.O. Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1560
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.