Gabriel Glen Trujillo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4727 Issued in NM

Practice address

2001 E Lohman Ave Ste 121
Las Cruces, NM 88001-3195

Phone

(575) 527-4746

NPI assigned

Jun 27, 2017

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1982124210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 S 3RD STREET PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081707",
            "telephone_number": "575-635-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE STE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013195",
            "telephone_number": "575-527-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "GABRIEL",
        "middle_name": "GLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romina Trujillo Agostini
• Cynthia D Trujillo-Sanchez, MA.,CCC-SLP
• Andrew Luna Trujillo, LMSW
• Daphnie Monique Trujillo
• Gabriel Trujillo
• Jerrica Trujillo, PA
• Juliana Trujillo
• Lance Trujillo, PHARM.D., BCPS, PHC
• Maria A Trujillo, MA., CCC-SLP
• Myrna J Trujillo, BCBA, LBA

• General Practice Dentistry in Las Cruces, NM
• Providers in Las Cruces, 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 Jun 27, 2017; 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.