NPIMap

Organization Active NPI

Vista Hills Family Dental

  • Dentist
  • El Paso, TX
National Provider Identifier
1093045205
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20182 Issued in TX
Legal business name
VISTA HILLS FAMILY DENTAL
Practice address
1713 Weston Brent LN
El Paso, TX 79935-3013
Phone
(915) 592-2097
Fax
(915) 592-2853
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. Jose Luis Alvarez, DDSNPI 1982770418
Title
Owner
Phone
(915) 592-2097

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20182 TX Primary

Addresses

Primary practice location

1713 Weston Brent LN
El Paso, TX 79935-3013

Mailing address

1713 Weston Brent LN
El Paso, TX 79935-3013
Phone (915) 592-2097

Other identifiers 1

IdentifierTypeStateIssuer
0079188-02MedicaidTX

National Provider Directory

National Provider Directory

Locations

1713 Weston Brent Ln
El Paso, TX 79935
Phone (915) 592-2097

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1093045205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WESTON BRENT LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353013",
            "telephone_number": "915-592-2097",
            "fax_number": "915-592-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 WESTON BRENT LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353013",
            "telephone_number": "915-592-2097",
            "fax_number": "915-592-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HILLS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-592-2097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079188-02",
            "state": "TX"
        }
    ],
    "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 May 13, 2010; 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.