Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639432354 Individual Practitioner Male Practitioner

Travis Evans

Dentist - General Practice • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Travis Evans is a registered healthcare professional specializing in Dentist - General Practice in Gallup, NM. Practice services are available at 1601 S SECOND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 S Second St

Gallup, NM 873015816

Telephone 5057224422
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Gallup, NM (761 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DD3671

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1346644671

Doctor of Dental Surgery

Kaleb Madsen

Dentist - General Practice

NPI 1699664011
Dr. Tyler Whitehead , DDS

Dentist - General Practice

NPI 1881090736

Doctor of Dental Surgery

NPI 1922673599

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2015

Registered at 1601 S SECOND ST, GALLUP, NM 873015816 (Tel: 5057224422)

📍
Updated Business Mailing Address January 21, 2015

Registered at 1601 S SECOND ST, GALLUP, NM 873015816 (Tel: 5057224422)

👤
Provider Name / Credentials Updated January 21, 2015

Recorded as TRAVIS EVANS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Dentist (License #DD3671 in NM)

🟢
Initial NPI Registration & Enumeration June 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639432354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2012
Last Update: January 21, 2015
Sole Proprietor: No

Mailing Address

1601 S Second St

Gallup, NM 873015816

Phone: 5057224422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.