DR. GARRY VANGENDEREN (NPI# 1871982140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871982140 |
| Entity Type | Individual |
| Full Name | DR. GARRY VANGENDEREN |
| Credential | DDS |
| Practice Address |
17 W 4th St La Junta CO 81050-3636 |
| Mailing Address |
520 Hermosa Ave Apt 6 Hermosa Beach CA 90254-4437 |
| Practice Telephone | 7193832083 |
| Mailing Telephone | 2012143838 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN.00202413 | CO | Dental Providers |
| Street Address |
17 W 4TH ST |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760852917 | Victor Eduardo Perez | Dentist | 17 W 4th St, La Junta, CO 81050-3636 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1164440491 | Rosa Linda Lacy | Dentist | 13 E 4th St, La Junta, CO 81050-3601 | 2006-07-17 |
| 1003030933 | David N. Trujillo, Dds, PC | Dentist | 317 W 3rd St, Suite 101, La Junta, CO 81050-1401 | 2007-04-12 |
| 1336162825 | David Nathaniel Trujillo | Dentist | 317 W 3rd St, Suite 101, La Junta, CO 81050-1401 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848496 | Vantage Pointe Dental Pllc | Dentist | 11410 Via Varra Unit 400, Broomfield, CO 80020-9764 | 2020-10-12 |
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1588279350 | Parker Alan Drake | Dentist | 36 E Allen St Ste 100, Castle Rock, CO 80108-7823 | 2020-09-09 |
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1336751213 | Michael Kawulok | Dentist | 5221 Pinehurst Dr, Boulder, CO 80301-3792 | 2020-08-20 |
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GARRY VANGENDEREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.