Individual provider Active NPI

Aimee NG Estrada

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1023716073
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39481 Issued in TX
Practice address
5150 Montana Ave
El Paso, TX 79903-4904
Phone
(915) 201-4328
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39481 TX
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 39481 TX Primary

Addresses

Primary practice location

5150 Montana Ave
El Paso, TX 79903-4904

Mailing address

5800 N Interstate 35 Ste 205
Denton, TX 76207-1438
Phone (940) 220-7833

Other practice location 1

9707 Sinsonte Haven St
San Antonio, TX 78230-4068
Phone (210) 789-3038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39481TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dyer Family Dentistry, PLLC General Practice PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1023716073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034904",
            "telephone_number": "915-201-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9707 Sinsonte Haven St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304068",
            "country_code": "US",
            "telephone_number": "210-789-3038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "AIMEE",
        "middle_name": "NG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39481",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39481",
            "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 Apr 23, 2024; 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.