NPIMap

Organization Active NPI

El Paso Pellicano Family Dentistry

Doing business as Zaragoza Family Dentistry

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1235904632
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EL PASO PELLICANO FAMILY DENTISTRY
Doing business as
Zaragoza Family Dentistry
Practice address
1920 N Zaragoza Rd Ste 107
El Paso, TX 79938-4656
Phone
(915) 856-1771
Fax
(915) 856-1772
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Dr. Jasvinder Badwalz, DDS
Title
Owner/Dentist
Phone
(916) 747-8534

Specialties & licenses 1

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

Addresses

Primary practice location

1920 N Zaragoza Rd Ste 107
El Paso, TX 79938-4656

Mailing address

1920 N Zaragoza Rd Ste 107
El Paso, TX 79938-4656
Phone (915) 856-1771

Other names 1

  • ZARAGOZA FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Paso Pellicano Family Dentistry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1920 N Zaragoza Rd
Ste 107
El Paso, TX 79938
Phone (915) 856-1771

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1235904632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N ZARAGOZA RD STE 107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384656",
            "telephone_number": "915-856-1771",
            "fax_number": "915-856-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N ZARAGOZA RD STE 107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384656",
            "telephone_number": "915-856-1771",
            "fax_number": "915-856-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO PELLICANO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "BADWALZ",
        "authorized_official_first_name": "JASVINDER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "916-747-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "ZARAGOZA 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 Nov 16, 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.