El Paso Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EL PASO DENTAL CARE PLLC

Practice address

11625 Pellicano Dr
El Paso, TX 79936-6242

Phone

(915) 855-8484

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By 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

Dr. Eric Gutierrez, DDSNPI 1164941514

Title

Owner/Dentist

Phone

(915) 855-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Michael Gutierrez, DDS

  • Dentist
  • El Paso, TX
  • NPI 1164941514
  NPD Authorized official
• Arturo R. Gutierrez, D.D.S.

  • Dentist
  • El Paso, TX
  • NPI 1861404378
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1205502291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366242",
            "telephone_number": "915-855-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366242",
            "telephone_number": "915-855-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "915-855-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164941514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Paso Dedicated Services
• El Paso del Norte Home Health Agency, Inc. (El Paso Home Health)
• El Paso del Norte Surgical Group, PA (Rio Grande Surgeons, PA)
• El Paso del Norte Urologists, PA
• El Paso Dental Care
• El Paso Diabetes Association, Inc.
• El Paso Diagnostic Imaging CT LTD
• El Paso Doctors of Chiropractiic, Inc
• El Paso Ear Nose & Throat Associates
• El Paso Electrophysiology, P.a.

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.