1. Home
  2. Directory
  3. New Mexico
  4. Tohatchi
  5. Dentist
  6. NPI Profile

DR. DEZBAA ALTAALKII DAMON-MALLETTE D.M.D.
NPI 1598958415
Dentist in Tohatchi, NM

Active since August 23, 2007PECOS Enrolled
07 CHOOSHGAI DR., TOHATCHI, NM 87325(505) 733-8440(505) 733-2384 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2020, Jan 12, 2016 (2 updates tracked since 2016).

About Dr. Dezbaa Altaalkii Damon-mallette D.m.d. NPPES

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

DR. DEZBAA ALTAALKII DAMON-MALLETTE D.M.D. (NPI 1598958415) is an individual dentist in Tohatchi, New Mexico, licensed in New Mexico (DD4027) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598958415
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. DEZBAA ALTAALKII DAMON-MALLETTECredential: D.M.D.
Location Address07 CHOOSHGAI DR.Tohatchi, NM 87325
Mailing AddressP.o. Box 3367Gallup, NM 87305 · (505) 444-0329
Phone(505) 733-8440
Fax(505) 733-2384
Sole ProprietorYes
Enumeration DateAugust 23, 2007
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1598958415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NM · DD4027✔ Licensed in AZ · D008231
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.
07 CHOOSHGAI DR., Tohatchi, NM 87325
Open in Google Maps ↗

Other Names 1

Former Name (1)Dezbaa Altaalkii Damon D.m.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dezbaa Altaalkii Damon-mallette D.m.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Dezbaa Damon-mallette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs, Phs, Naihs, Gallup Indian Medical Center
Same address
Public Health, Federal
007 CHOOSGAI DRIVE
Tohatchi, NM 87325
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1902875594 (505) 722-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87325 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dezbaa Damon-mallette's NPI number?

The NPI number for Dezbaa Damon-mallette is 1598958415. It was assigned to this individual provider in the NPPES registry on August 23, 2007. The provider is also known as Dezbaa Altaalkii Damon D.M.D..

Where is Dezbaa Damon-mallette located?

Dezbaa Damon-mallette practices at 07 Chooshgai Dr., Tohatchi, NM 87325. The listed phone number is (505) 733-8440.

What is Dezbaa Damon-mallette's specialty?

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

Is Dezbaa Damon-mallette enrolled in Medicare?

Yes. Dezbaa Damon-mallette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dezbaa Damon-mallette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dezbaa Damon-mallette reassigns Medicare benefits to Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dezbaa Damon-mallette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dezbaa Damon-mallette accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Dezbaa Damon-mallette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dezbaa Damon-mallette was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.