Individual provider Active NPI

Nicole Esparza Gonzales, DDS

  • General Practice Dentistry
  • Las Cruces, NM
National Provider Identifier
1932081874
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DB-2025-0136 Issued in NM
Practice address
575 S Alameda Blvd
Las Cruces, NM 88005-2818
Phone
(575) 532-2002
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DB-2025-0136 NM Primary

Addresses

Primary practice location

575 S Alameda Blvd
Las Cruces, NM 88005-2818

Mailing address

510 Eagles Nest Rd
Las Cruces, NM 88007-5858
Phone (505) 879-7632

Other names 1

  • Nicole Esparza Gonzales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911005180 NM Practitioner - Dentist 4981107265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

385 Calle de Alegra
BLDG a
Las Cruces, NM 88005-3417

385 Calle de Alegra
BLDG a
Las Cruces, NM 88005-3423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DB-2025-0136NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 25, 2025 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 25, 2025 Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400

8600 Bataan Memorial E
Las Cruces, NM 88011
Phone (575) 373-9202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1932081874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 EAGLES NEST RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075858",
            "telephone_number": "505-879-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052818",
            "telephone_number": "575-532-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "NICOLE",
        "middle_name": "ESPARZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2025-0136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GONZALES",
            "middle_name": "ESPARZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.