Kaleb Madsen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DB-2025-0111 Issued in NM

Practice address

1601 S Second St
Gallup, NM 87301-5816

Phone

(505) 722-4422

NPI assigned

Jul 1, 2025

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1699664011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 NEVADA CIR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015433",
            "telephone_number": "801-822-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015816",
            "telephone_number": "505-722-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "KALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2025-0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Macias
• Philip Macneil, M.D.
• Sandra G Madison, RN
• Kimberly E Madrid, RN
• Rhoda Din Madrid
• Andrea Lynn Magee, RN
• Rachael Mahar, RN, BSN
• Heidi Mahkee
• Gillian Electa Mair, MD
• Jeannee Major, RN

• General Practice Dentistry in Gallup, NM
• Providers in Gallup, 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 Jul 1, 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.