NPIMap

Organization Active NPI

Crossroads Dental Clinic, P.a.

  • Dentist
  • El Paso, TX
National Provider Identifier
1013353036
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11392 Issued in TX
Legal business name
CROSSROADS DENTAL CLINIC, P.A.
Practice address
8001 N Mesa St
Suite D
El Paso, TX 79932-1736
Phone
(915) 833-3232
Fax
(915) 833-3283
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Candace E Wolf, DDSNPI 1134199656
Title
Dentist
Phone
(915) 833-3232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11392 TX Primary

Addresses

Primary practice location

8001 N Mesa St
Suite D
El Paso, TX 79932-1736

Mailing address

8001 N Mesa St
Suite D
El Paso, TX 79932-1736
Phone (915) 833-3232

National Provider Directory

National Provider Directory

Locations

8001 N Mesa St
Ste D
El Paso, TX 79932
Phone (915) 833-3232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1013353036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N MESA ST",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321736",
            "telephone_number": "915-833-3232",
            "fax_number": "915-833-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N MESA ST",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321736",
            "telephone_number": "915-833-3232",
            "fax_number": "915-833-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DENTAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "915-833-3232",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "11392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 16, 2013; 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.