Gabriele E McComas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD4892 Issued in NM

Practice address

5000 Menaul Boulevard
Suite B
Albuquerque, NM 87110-3046

Phone

(505) 872-1212

Fax

(505) 872-1213

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Hero Dental of Albuquerque PC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1871881623
  NPD (past)
• Hero Vision of Albuquerque LLC

  • Optometrist
  • Albuquerque, NM
  • NPI 1780954800
  NPD (past)
• Northtowne Dentistry LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1104538404
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1669967063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 EAST BIJOU",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MENAUL BOULEVARD",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103046",
            "telephone_number": "505-872-1212",
            "fax_number": "505-872-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMAS",
        "first_name": "GABRIELE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4892",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane L. McClurg, DDS
• Maggie N McClymond, RN
• Jeffery Paul McCollum, CFNP
• Kaylene Sharon McCollum, APRN-C
• Michael Shawn McCollum, LMSW
• Shawn McConkey, PHARMD
• Melissa McConnell-Hand, LMHC
• Christina I McConnell
• Cynthia McConnell
• Lucinda McConnell, MA LPC

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.