Organization Active NPI

Desert View Dietitians LLC

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1245907401
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DESERT VIEW DIETITIANS LLC
Practice address
5625 Woodrow Bean Ste 117
El Paso, TX 79924-4125
Phone
(915) 243-2370
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Ruth Alicia Miranda, MPPD, RDN, LDNPI 1871124396
Title
Dietitian
Phone
(915) 243-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

5625 Woodrow Bean Ste 117
El Paso, TX 79924-4125

Mailing address

722 El Paseo Dr
Chaparral, NM 88081-7517
Phone (915) 243-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230000137 TX Part B Supplier - Clinic/Group Practice 7416348487 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

309 Red Sun Dr
#1D
Chaparral, NM 88081
Phone (575) 228-7787

5625 Woodrow Bean
Ste 115
El Paso, TX 79924
Phone (915) 243-2370

5625 Woodrow Bean
Ste 117
El Paso, TX 79924
Phone (915) 243-2370

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1245907401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 EL PASEO DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817517",
            "telephone_number": "915-243-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 WOODROW BEAN STE 117",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244125",
            "telephone_number": "915-243-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW DIETITIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "915-243-2370",
        "authorized_official_credential": "MPPD, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.