Encanto Dental Group of Texas LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ENCANTO DENTAL GROUP OF TEXAS LLC

Practice address

1816 N Zaragoza Rd Ste 103-104
El Paso, TX 79936-8019

Phone

(575) 524-8527

NPI assigned

Jan 30, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Elliss, DMD

Title

Owner/Doctor

Phone

(702) 557-6423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1114633450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052999",
            "telephone_number": "240-988-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 N ZARAGOZA RD STE 103-104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368019",
            "telephone_number": "575-524-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCANTO DENTAL GROUP OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ELLISS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "702-557-6423",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.