Gallegos Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DD3493 Issued in NM

Legal business name

GALLEGOS FAMILY DENTISTRY

Practice address

4411 Montano Rd NW
Suite D
Albuquerque, NM 87120-3235

Phone

(505) 550-8886

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip M Gallegos, DDS

Title

Owner/Dentist

Phone

(505) 550-8886

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1699194670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BUTLER AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144259",
            "telephone_number": "505-550-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MONTANO RD NW",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203235",
            "telephone_number": "505-550-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLEGOS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "505-550-8886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria R Gallardo
• Samuel Gallardo, BA
• Daniel Fernando Gallego Umana, M.D.
• Maria Rebecca Gallego, MD
• Gallegos Endodontics LLC (Endodontic Associates of Albuquerque)
• Rosa Gallegos Samora, LCSW
• Samantha Gallegos-Gollihugh, CNM
• Angela Gallegos-Macias, MD
• Adam Gallegos
• Alegre Gallegos, MPT

• 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 Apr 7, 2014; 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.