IndividualActive
Mariah Gordon
NPI 1588410294 · Dentist · Kirtland Afb, NM
Mariah Gordon is a Dentist provider in Kirtland Afb, NM (NPI 1588410294).
Provider details
- NPI number
- 1588410294
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DB-2024-0164 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-5901
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Additional practice locations (1)
- 2501 Capehart RdOffutt Afb, NE 68113-1043Phone: (402) 294-5712
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Frequently asked questions
- What is Mariah Gordon's NPI number?
- Mariah Gordon's National Provider Identifier (NPI) is 1588410294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariah Gordon's specialty?
- Mariah Gordon is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Mariah Gordon located?
- Mariah Gordon's practice location on file with NPPES is 2050a 2nd St Se, Kirtland Afb, NM 87117-5901.
- What is Mariah Gordon's phone number?
- The practice phone number listed in the NPPES registry for Mariah Gordon is (505) 846-3200.
- Is Mariah Gordon's NPI active?
- Yes — Mariah Gordon's NPI (1588410294) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.