Vesna Delic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2386 Issued in NM

Practice address

1924 Juan Tabo Blvd NE
Suite C
Albuquerque, NM 87112-3358

Phone

(505) 293-3451

Fax

(505) 293-0027

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

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.

• Juan Tabo Dentistry LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1477197804
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336140169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 VILLAGE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222601",
            "telephone_number": "505-797-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 JUAN TABO BLVD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123358",
            "telephone_number": "505-293-3451",
            "fax_number": "505-293-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIC",
        "first_name": "VESNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Delgado
• Sergio Delgado
• Susan Delgado
• Vanessa Esperanza Delgado, AGACNP-BC
• Angela Lisa Delgrande, CNP, PMHNP-BC
• Amanda L Deligtisch, MD
• Kaley Delker
• Lance Dell, MD
• Casey Dellabarca, MD
• Sean Deller

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.