Wynona Geraldine Tellbuescher

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205699 Issued in CO

Practice address

9774 Washington St
Thornton, CO 80229-2162

Phone

(303) 256-9610

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wynona.tellbuescher.p1@direct.schcmed.nextgenshare.com

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

• Washington Plaza Dentistry, LLP

  dba Washington Plaza Dentistry

  • Dentist
  • Thornton, CO
  • NPI 1942932207
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1427737204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 DECATUR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9774 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292162",
            "telephone_number": "303-256-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLBUESCHER",
        "first_name": "WYNONA",
        "middle_name": "GERALDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dean Taylor
• Rachel Taylor
• Marisa Teel, MA
• Donna S Tegethoff, P.T.
• Melanie Richard Telford, PSY.D.
• Ross Temkin, CNTP, RWP
• Amanda Templeton, FNP
• Michelle Marie Templeton, PH.D.
• Rebecca Terlouw
• Benny W Terry, PHARMD

• Dentist in Thornton, CO
• Providers in Thornton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.