Gallup Indian Medical Center
NPI 1740452697ActiveOrganization· Clinic/Center, Dental· Gallup, NM
Clinic/Center, Dental in Gallup, New Mexico, registered in NPPES in April 2008. The authorized official on file is Pamela Detsoi-Smiley, CEO, Chief Executive Officer.
Overview
| NPI | 1740452697 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2008 |
| Last updated in NPPES | Feb 12, 2025 |
| Certified by provider | Feb 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Dental Primary | 261QD0000X | 9435 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|