DR. NICK A DESANTIS
NPI 1679606834
Dentist - General Practice in Gallup, NM

Active since March 14, 2007
1801 REDROCK DR, GALLUP, NM 87301(505) 863-4457(505) 722-4310 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nick A Desantis NPPES

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

DR. NICK A DESANTIS (NPI 1679606834) is an individual general practice provider in Gallup, New Mexico, licensed in New Mexico (1345) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1679606834
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICK A DESANTIS
Location Address1801 REDROCK DRGallup, NM 87301-5655
Mailing Address1801 Redrock DrGallup, NM 87301-5655 · (505) 863-4457 · Fax (505) 722-4310
Fax(505) 722-4310
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1679606834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NM · 1345
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1801 REDROCK DR, Gallup, NM 87301

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1801 REDROCK DR
GALLUP, NM 87301
Internal Medicine (Nephrology)
1801 REDROCK DR
GALLUP, NM 87301
Internal Medicine (Nephrology)
1801 REDROCK DR
GALLUP, NM 87301
Internal Medicine (Nephrology)
1801 REDROCK DR
GALLUP, NM 87301
Physician Assistant
1801 REDROCK DR
GALLUP, NM 87301

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 Nick Desantis's NPI number?

The NPI number for Nick Desantis is 1679606834. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Nick Desantis located?

Nick Desantis practices at 1801 Redrock Dr, Gallup, NM 87301. The listed phone number is (505) 863-4457.

What is Nick Desantis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nick Desantis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.