Organization Active NPI

Tanya M Oswald MD Professional LLC

  • Plastic Surgery Physician
  • Centennial, CO
National Provider Identifier
1093371122
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
TANYA M OSWALD MD PROFESSIONAL LLC
Practice address
13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925
Phone
(720) 408-5805
Fax
(970) 837-7199
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanya Oswald, MDNPI 1467654376
Title
Authorized Official
Phone
(303) 549-9665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925

Mailing address

13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925
Phone (720) 408-5805

Other names 1

  • Estetica Nova Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190729003663 CO Part B Supplier - Clinic/Group Practice 8628304615 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

13111 E Briarwood Ave
Ste 100
Centennial, CO 80112
Phone (719) 465-0069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1093371122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123925",
            "telephone_number": "720-408-5805",
            "fax_number": "970-837-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123925",
            "telephone_number": "720-408-5805",
            "fax_number": "970-837-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA M OSWALD MD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "303-549-9665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estetica Nova",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.