Organization Active NPI

Dyer Dental Care PLLC

  • Dental Clinic/Center
  • El Paso, TX
National Provider Identifier
1083962104
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
26272 Issued in TX
Legal business name
DYER DENTAL CARE PLLC
Practice address
10039 Dyer St
El Paso, TX 79924-4136
Phone
(915) 759-7000
Fax
(888) 681-2812
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Nasim Naghibi Ravari, DDS
Title
Manager
Phone
(915) 759-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 26272 TX Primary

Addresses

Primary practice location

10039 Dyer St
El Paso, TX 79924-4136

Mailing address

10039 Dyer St
El Paso, TX 79924-4136
Phone (915) 759-7000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1083962104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10039 DYER ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244136",
            "telephone_number": "915-759-7000",
            "fax_number": "888-681-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10039 DYER ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244136",
            "telephone_number": "915-759-7000",
            "fax_number": "888-681-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "RAVARI",
        "authorized_official_first_name": "NASIM",
        "authorized_official_middle_name": "NAGHIBI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-759-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "26272",
            "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 Aug 21, 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.