Tanya Renee Quezada, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

1631 Wetzel Ave BLDG 815
Fort Carson, CO 80913-4095

Phone

(719) 526-5537

Fax

(719) 524-2843

NPI assigned

May 16, 2017

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

Other names 1

• Ms. Tanya Renee Vanegas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932636404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-5537",
            "fax_number": "719-524-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-5537",
            "fax_number": "719-524-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "VANEGAS",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "DENTAL ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tomislav Pudic, PA-C
• Danell Pugh
• Kayla Marie Puglisi, DDS
• Max Daniel Pusz, MD
• Natasha J Pyzocha, D.O.
• Jacqueline Quiles, EFDA
• Amber Jeanette Quinones, MD
• Jonathan H. Quirk, PHARMD, RPH
• Tapaswi Rajbhandari
• Michael Rakow, PSY.D

• Dental Assistant in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Dental Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.