NPIMap

Organization Active NPI

Soy Inty PA

  • Dental Clinic/Center
  • El Paso, TX
National Provider Identifier
1013208776
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
24393 Issued in TX
Legal business name
SOY INTY PA
Practice address
9201 Dyer St
Suite B
El Paso, TX 79924-6441
Phone
(915) 751-7070
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Dr. Dwight L Bailey, D.D.S
Title
President
Phone
(915) 751-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 24393 TX Primary

Addresses

Primary practice location

9201 Dyer St
Suite B
El Paso, TX 79924-6441

Mailing address

9201 Dyer St
Suite B
El Paso, TX 79924-6441
Phone (915) 751-7070

Other identifiers 1

IdentifierTypeStateIssuer
1538314232OtherTXNPI TYPE 1

Other names 1

  • Northeast Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

9201 Dyer St
Ste B
El Paso, TX 79924
Phone (915) 751-7070

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1013208776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 DYER ST",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246441",
            "telephone_number": "915-751-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 DYER ST",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246441",
            "telephone_number": "915-751-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOY INTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-751-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "24393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1538314232",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.