Tanya Sabrina Calle Mora

Primary specialty

DentistTaxonomy code 122300000X

License

DN10000132 Issued in MA

Practice address

505 Front St
Chicopee, MA 01013-3140

Phone

(413) 420-2222

NPI assigned

Apr 6, 2023

Last updated

May 23, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1649965609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HILLCREST PARK APT A",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752976",
            "telephone_number": "407-415-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FRONT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133140",
            "telephone_number": "413-420-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Maple Street",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-420-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1876 Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951003",
            "country_code": "US",
            "telephone_number": "413-543-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLE MORA",
        "first_name": "TANYA",
        "middle_name": "SABRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000132",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique R Burks
• Alan S. Burstein, M.D.
• Stephany Jean Burzdak, COTA/L
• Edward M Butrick, MSW
• Luisa C Cabrera
• Giselle M Caraballo
• Zuleika Wilmary Caraballo
• Caring Home Care LLC
• Carols Image Plus
• Lea R Caron, LMHC

• Dentist in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.