Individual provider Active NPI

Elie R El-Hage, D.D.S.

  • Dentist
  • Bee Cave, TX
National Provider Identifier
1093857070
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16826 Issued in TX
Practice address
13948 Lone Rider TRL
Bee Cave, TX 78738-6431
Phone
(512) 294-0005
Fax
(512) 402-1473
NPI assigned
Feb 13, 2007
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16826 TX Primary

Addresses

Primary practice location

13948 Lone Rider TRL
Bee Cave, TX 78738-6431

Mailing address

13948 Lone Rider TRL
Austin, TX 78738-6431
Phone (512) 294-0005

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
I20160225002726 TX Order and Referring Only - DentistPractitioner - Dentist 9032414248

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1093857070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13948 LONE RIDER TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386431",
            "telephone_number": "512-294-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13948 LONE RIDER TRL",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386431",
            "telephone_number": "512-294-0005",
            "fax_number": "512-402-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HAGE",
        "first_name": "ELIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

Verify at the official NPI Registry.