Kendall R Vanegmond

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002025907 Issued in CO

Practice address

625 N Cascade Ave Ste 200
Colorado Springs, CO 80903-3271

Phone

(719) 633-5501

NPI assigned

Oct 23, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Smiles Dentistry

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1164131405
  NPD

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1205704160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 IRIS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111632",
            "telephone_number": "719-469-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N CASCADE AVE STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033271",
            "telephone_number": "719-633-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGMOND",
        "first_name": "KENDALL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002025907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Vanderwel, PA-C
• Joshua Daniel Vanderwerf, M.D.
• Scott Vandeveer, MD
• Andrew D Vandyke, LPC, CGP
• Morrisa Vandyke, MA, LPC
• Vanessa P. Graf
• Lars Vanetten, MD
• Vanguard Medical Specialists LLC
• Vanguard Medical Specialists LLC
• Vanguard Medical Specialists LLC

• Dental Hygienist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.