NPIMap

Organization Active NPI

Diamond One Dental Services, PLLC

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1033490388
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIAMOND ONE DENTAL SERVICES, PLLC
Practice address
10501 Gateway Blvd W
Suite 107
El Paso, TX 79925-7934
Phone
(915) 590-4600
Fax
(915) 590-4604
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Kayli Coffman
Title
Manager
Phone
(702) 204-3557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10501 Gateway Blvd W
Suite 107
El Paso, TX 79925-7934

Mailing address

1900 Durance
Corinth, TX 76210-0589
Phone (702) 204-3557

Other names 1

  • Dental Fun Zone Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1033490388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DURANCE",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762100589",
            "telephone_number": "702-204-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 GATEWAY BLVD W",
            "address_2": "SUITE 107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257934",
            "telephone_number": "915-590-4600",
            "fax_number": "915-590-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND ONE DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "KAYLI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-204-3557"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Fun Zone",
            "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 Feb 23, 2012; 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.