NPI

Tara Mendozza Decrescentis

NPI 1407973266

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C.
Type
Individual
Enumeration date
2007-03-24
Last updated
2018-03-17

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Specialties

Licenses

License CO
2368

Location

Practice location
10099 Ridgegate Pkwy Ste 480
City
Lone Tree CO
Postal code
80124-5537
Phone
(720) 441-4021

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Lone Tree, CO. 1,860 records in the public file.

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