DR. GUSTAVO VASQUEZ SIDA (NPI# 1871088419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871088419 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO VASQUEZ SIDA |
| Credential | DMD |
| Practice Address |
1998 N Motel Blvd Las Cruces NM 88007 |
| Mailing Address |
Po Box 370 Hatch NM 87937-0370 |
| Practice Telephone | 5755415941 |
| Practice Fax Number | 5755415048 |
| Mailing Telephone | 5752673280 |
| Mailing Fax Number | 5752671747 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD5149 | NM | Dental Providers |
| N | 122300000X | Dentist | D010085 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1819 W Dunlap Ave Ste 1, Phoenix, AZ 850214375 | 6028613333 | |
| 3101 W Indian School Rd, Phoenix, AZ 850174035 | 6028613333 |
| Street Address |
1998 N MOTEL BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669452108 | Woo Jong Ko | Dentist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2006-01-19 |
| 1922515675 | Maria I Crespin | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2018-01-03 |
| 1992217665 | Michael A Jaurequi | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007 | 2017-11-02 |
| 1366960601 | Diana Jeremias | Social Worker | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2017-09-07 |
| 1255855086 | Gabrielle Nichole Allsup | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2017-08-02 |
| 1689120735 | Yvette Enriquez | Social Worker | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-08-29 |
| 1700238870 | Liliana Salazar | Marriage & Family Therapist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-07-12 |
| 1881045508 | Ruben Femat | Dentist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-06-23 |
| 1154770972 | Taylor Wilkinson | Dentist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-06-13 |
| 1598112435 | Christine Hernandez | Registered Nurse | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012241 | Lc Sleep Solutions LLC | Dentist | 2001 E Lohman Ave Ste 122, Las Cruces, NM 88001-3195 | 2020-01-10 |
| 1629570023 | Desert Elite Family Dental Pllc | Dentist | 1300 El Paseo Rd Ste N, Las Cruces, NM 88001-6039 | 2018-03-02 |
| 1306230727 | Rohini Bansal | Dentist | 1160 El Paseo Rd, Las Cruces, NM 88001-6045 | 2015-03-24 |
| 1366851495 | Kye Grant Kinzer | Dentist | 5135 Acacia Rd, Las Cruces, NM 88011-7623 | 2014-08-02 |
| 1235550138 | Mesilla Valley Children's Dentistry | Dentist | 3835 E. Lohman Ave., Las Cruces, NM 88011 | 2013-12-18 |
| 1396174116 | University Family Dental PC | Dentist | 705 E University Ave Ste B, Las Cruces, NM 88001-5637 | 2013-11-02 |
| 1700131190 | Wael Borham | Dentist | 608 S Alameda Blvd, Las Cruces, NM 88005-2817 | 2012-07-21 |
| 1396033494 | Jared S. Wallis | Dentist | 2540 N Telshor Blvd Ste E, Las Cruces, NM 88011-8201 | 2011-07-11 |
| 1114216389 | Las Cruces Dental Solutions | Dentist | 2001 E Lohman Ave Ste 121, Las Cruces, NM 88001-3195 | 2011-03-28 |
| 1154624401 | Pediatric Dental Specialist of New Mexico LLC | Dentist | 2450 South Telshor, Memorial Medical Hospital, Las Cruces, NM 88011-7594 | 2010-12-08 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88007 |
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| 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.