Jennifer Gomez

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DB-2025-0016 Issued in NM

Practice address

608 La Joya St Ste B
Espanola, NM 87532-3467

Phone

(505) 753-9454

NPI assigned

Mar 19, 2025

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

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

Practice roles

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

• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1952661282
  NPD (past)

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1972303741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322618",
            "telephone_number": "505-753-7218",
            "fax_number": "505-747-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LA JOYA ST STE B",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323467",
            "telephone_number": "505-753-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15136 Street Road 75",
            "address_purpose": "LOCATION",
            "city": "Penasco",
            "state": "NM",
            "postal_code": "87553",
            "country_code": "US",
            "telephone_number": "575-587-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DB-2025-0016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Garrett, PHARM.D.
• Dennis R. Glavan, MSW
• Clarence Wilfred Goddard, MA LADAC
• Cynthia Ann Goldblatt, LPCC
• Eric Golden
• Edna Elizabeth Gonzales-Anzaldua, LISW,LADAC
• Andrea Gonzales, BMS
• David Gonzales
• Stephanie Gonzales
• Alejandra Gonzalez, BMS

• Dental Hygienist in Espanola, NM
• Providers in Espanola, NM by specialty
• Dental Hygienist in New Mexico

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