TIMOTHY L. AMBROSE DDS
NPI 1003850116
Dentist in Gallup, NM

Q: What is Timothy Ambrose's NPI number?

The NPI number for Timothy Ambrose is 1003850116. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Timothy Ambrose's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Ambrose was last updated on April 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2006PECOS Enrolled

516 E. NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 722-1565 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Timothy L. Ambrose Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY L. AMBROSE DDS (NPI 1003850116) is an individual dentist in Gallup, New Mexico, licensed in Nebraska (5767) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003850116

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTIMOTHY L. AMBROSECredential: DDS

Location Address516 E. NIZHONI BLVD.Gallup, NM 87301-1337

Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000 · Fax (505) 722-1565

Phone(505) 722-1000

Fax(505) 722-1565

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateApril 16, 2008

✔ NPI 1003850116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NE · 5767

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

516 E. NIZHONI BLVD., Gallup, NM 87301

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Other Identifiers 2

Medicaid416455AZ

Medicaid000R7575NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy L. Ambrose Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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