Individual provider Active NPI

Carlos Nicolas Nowik

  • Prosthodontics
  • El Paso, TX
National Provider Identifier
1245190834
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
42096 Issued in TX
Practice address
10510 Montwood Dr
El Paso, TX 79935-2716
Phone
(915) 308-7079
NPI assigned
Nov 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 42096 TX Primary

Addresses

Primary practice location

10510 Montwood Dr
El Paso, TX 79935-2716

Mailing address

4717 Hondo Pass Dr
El Paso, TX 79904-1474
Phone (754) 303-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42096TXMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1763164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1245190834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 HONDO PASS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041474",
            "telephone_number": "754-303-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352716",
            "telephone_number": "915-308-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWIK",
        "first_name": "CARLOS",
        "middle_name": "NICOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-15",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "42096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2025; 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.