Gary Dean Mundy, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17594 Issued in TX

Practice address

5551 N Mesa St
El Paso, TX 79912-5455

Phone

(915) 581-5476

Fax

(915) 584-6622

NPI assigned

Sep 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134226707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125455",
            "telephone_number": "915-581-5476",
            "fax_number": "915-584-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125455",
            "telephone_number": "915-581-5476",
            "fax_number": "915-584-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "GARY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "17594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multi-Medical Services Inc (Preferred Medical Supplies)
• Multi-Specialty Group of New Mexico LLC
• Venkatachalam Mulukutla, M.D.
• Sebastian Gage Muncrief-Saldivar, MD
• Brianna Lee Mundell, M.S CCC-SLP
• Muneer E. Assi, D.O., P.a.
• Yury Camarena Munguia, PH.D.
• Haley Muni
• Lindsay Marie Muniz Quinones, DO
• David F Muniz

• Orthodontics and Dentofacial Orthopedics Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.