Individual provider Active NPI

Denise Lavette Deshields, M.D.

  • General Practice Physician
  • El Paso, TX
National Provider Identifier
1124277629
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H5162 Issued in TX
Practice address
3901 State Jail Rd
El Paso, TX 79938-8465
Phone
(915) 849-8039
Fax
(915) 849-8465
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H5162 TX Primary

Addresses

Primary practice location

3901 State Jail Rd
El Paso, TX 79938-8465

Mailing address

3901 State Jail Rd
El Paso, TX 79938-8465
Phone (915) 849-8039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H5162TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1124277629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 STATE JAIL RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388465",
            "telephone_number": "915-849-8039",
            "fax_number": "915-849-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 STATE JAIL RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388465",
            "telephone_number": "915-849-8039",
            "fax_number": "915-849-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHIELDS",
        "first_name": "DENISE",
        "middle_name": "LAVETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H5162",
            "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 Sep 9, 2008; 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.