Mohammad G. Aboukhadija, DDS
Individual provider Active NPI General Practice Dentistry · El Paso, TX
NPI 1144923764 · NPPES record last updated Oct 8, 2025
Key facts
- NPI
- 1144923764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 40334 (TX)
- Practice address
- 700 S Ochoa St
El Paso, TX 79901-2936 - Phone
- (915) 545-4550
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916001242 | TX | Practitioner - Dentist | 8123569340 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40334 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud Familiar la Fe, Inc. | Current |
Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current |
Accepting new patients | |
| Centro de Salud Familiar la Fe, Inc | Dentist | Current | Accepting new patients |
| Stephen F. Austin Community Health Center, Inc. | Current |
Accepting new patients | |
| Partnership Community Health Center, Inc | Past |
Accepting new patients | |
| Partnership Community Health Center, Inc | Past |
Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
4005 Technology Rd
Ste 1190
Angleton, TX 77515
1314 E Yandell Dr
El Paso, TX 79902
700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40334 | TX | Yes |
Addresses
Primary practice location
700 S Ochoa St
El Paso, TX 79901-2936
Mailing address
700 S Ochoa St
El Paso, TX 79901-2936
Other providers in El Paso, TX
- Abn Children Without Borders
- Mehran Abolbashari
- Ambrose Aboud
- Dwayne Mitchell Aboud
- Samuel Michael Aboud Jr.
- Abp Rehab Services PC
- Abraham J. Katz, M.D.PA
- Christian Thomas Abraham
- Noelle Abrams
- Thereasa Eilene Abrams
All providers in El Paso, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.