Organization Active NPI

United Dentistry of Far East El Paso

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1144739475
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNITED DENTISTRY OF FAR EAST EL PASO
Practice address
1971 N Zaragoza Rd Ste a
El Paso, TX 79938-7992
Phone
(915) 849-9400
Fax
(915) 849-1983
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Luz Fernandez
Title
Authorized Representative
Phone
(915) 274-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1971 N Zaragoza Rd Ste a
El Paso, TX 79938-7992

Mailing address

3201 Cherry Ridge St Ste A101
San Antonio, TX 78230-4824
Phone (915) 849-9400

Other names 1

  • Bliss Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1144739475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE A101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304824",
            "telephone_number": "915-849-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 N ZARAGOZA RD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387992",
            "telephone_number": "915-849-9400",
            "fax_number": "915-849-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTISTRY OF FAR EAST EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "915-274-7071"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 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.