Individual provider Active NPI

David Allan Cenk, D.M.D.

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1053433409
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16330 Issued in TX
Practice address
824 E Redd Rd Ste 1B
El Paso, TX 79912-7262
Phone
(915) 833-3484
Fax
(915) 833-8048
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16330 TX Primary

Addresses

Primary practice location

824 E Redd Rd Ste 1B
El Paso, TX 79912-7262

Mailing address

824 E Redd Rd Ste 1B
El Paso, TX 79912-7262
Phone (915) 833-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111001045 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567764392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053433409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E REDD RD STE 1B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127262",
            "telephone_number": "915-833-3484",
            "fax_number": "915-833-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E REDD RD STE 1B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127262",
            "telephone_number": "915-833-3484",
            "fax_number": "915-833-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENK",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.