Shane Benally, OD

NPI 1588387294 · on the registry since 2022

Practice

Address: 85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone: (505) 465-1169
Organisation at this address: Dialysis Clinic Inc.
Santo Domingo Health Clinic
Kewa Pueblo Health Corporation
Kewa Pueblo Health Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico