NPIMap

Organization Active NPI

Hillside Dental PLLC

Doing business as Hillside Dental

  • Dentist
  • El Paso, TX
National Provider Identifier
1225618630
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HILLSIDE DENTAL PLLC
Doing business as
Hillside Dental
Practice address
9040 Dyer St Ste 102
El Paso, TX 79904-1406
Phone
(915) 500-3643
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Del Grant Greenhalgh, DMD
Title
Owner
Phone
(915) 500-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9040 Dyer St Ste 102
El Paso, TX 79904-1406

Mailing address

10510 Montwood Dr Ste B
El Paso, TX 79935-2717
Phone (352) 443-9151

Other names 1

  • Hillside Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9040 Dyer St
Ste 102
El Paso, TX 79904
Phone (915) 500-3643

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1225618630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352717",
            "telephone_number": "352-443-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 DYER ST STE 102",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041406",
            "telephone_number": "915-500-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "GREENHALGH",
        "authorized_official_first_name": "DEL",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-500-3643",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Dental",
            "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 Apr 9, 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.