Gabriela Desantiago-Vazquez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205740 Issued in CO

Practice address

14001 E Iliff Ave Ste 104
Aurora, CO 80014-1424

Phone

(303) 337-0047

NPI assigned

Jun 6, 2021

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.

• Station Dental Group, PC

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1710591342
  NPD

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1811564123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 HARRISON AVE",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482036",
            "telephone_number": "916-622-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141424",
            "telephone_number": "303-337-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIAGO-VAZQUEZ",
        "first_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Derrick, MSN, CPNP, APRN
• Amelia Derstine, MD
• Aken Desai, MD
• Alisha Desai, PHD
• Michael T Desalvo, STUDENT
• Aubrey Robin Desantiago
• Kristen Desanto
• Gabrielle Deschamps, NNP
• Sherri Michelle Desgrange, RN
• Harley Cole Deshazer, BA, CACII

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.