Individual provider Active NPI

Ana Maria Quesada Gordillo

  • General Practice Dentistry
  • Schenectady, NY
National Provider Identifier
1932949104
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30293 Issued in NY
Practice address
410A Balltown Rd
Schenectady, NY 12304-2245
Phone
(518) 387-3145
NPI assigned
May 27, 2024
Last updated
Sep 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30293 NY Primary

Addresses

Primary practice location

410A Balltown Rd
Schenectady, NY 12304-2245

Mailing address

410A Balltown Rd
Schenectady, NY 12304-2245
Phone (518) 387-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30293FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1932949104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410A BALLTOWN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042245",
            "telephone_number": "518-387-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410A BALLTOWN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042245",
            "telephone_number": "518-387-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESADA GORDILLO",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "30293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; 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.