Active NPI
Elite Family Dentistry PLLC
- General Practice Dentistry
- El Paso, TX
National Provider Identifier
1043088727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ELITE FAMILY DENTISTRY PLLC
- Doing business as
- Advanced Dentistry of El Paso
- Practice address
- 12261 Eastlake Blvd
Ste E507 & E508
El Paso, TX 79928 - Phone
- (915) 234-7344
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Antonio Verastegui, DDS
- Title
- Dentist
- Phone
- (915) 205-3500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
12261 Eastlake Blvd
Ste E507 & E508
El Paso, TX 79928
Mailing address
12261 Eastlake Blvd Ste E507
El Paso, TX 79928-7800
Phone (915) 205-3500
Other names 1
- Advanced Dentistry of El Paso
National Provider Directory
National Provider DirectoryLocations
12261 Eastlake Blvd
Ste E507
El Paso, TX 79928
Phone (915) 205-3500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- El Paso, TX
- NPI 1841801586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1043088727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12261 EASTLAKE BLVD STE E507",
"city": "EL PASO",
"state": "TX",
"postal_code": "799287800",
"telephone_number": "915-205-3500",
"fax_number": "915-205-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12261 EASTLAKE BLVD",
"address_2": "STE E507 & E508",
"city": "EL PASO",
"state": "TX",
"postal_code": "79928",
"telephone_number": "915-234-7344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE FAMILY DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "VERASTEGUI",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "915-205-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"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": "Advanced Dentistry of El Paso",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Dentistry of El Paso",
"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 Sep 20, 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.