NPIMap

Organization Active NPI

Evelia Mancera

  • Dentist
  • El Paso, TX
National Provider Identifier
1265837546
Registry record updated Oct 28, 2014
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2643666 Issued in ZZ
Legal business name
EVELIA MANCERA
Practice address
4517 Leeds Ave
El Paso, TX 79903-1210
Phone
(915) 240-4174
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Mrs. Evelia Mancera
Title
Dentist
Phone
(915) 240-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2643666 ZZ Primary

Addresses

Primary practice location

4517 Leeds Ave
El Paso, TX 79903-1210

Mailing address

Hermanos Escobar
2456
CD. Juarez, CHIHUAHUA 32300
MX
Phone (915) 613-4145

Other names 1

  • Santa Fe Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1265837546",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "HERMANOS ESCOBAR",
            "address_2": "2456",
            "city": "CD. JUAREZ",
            "state": "CHIHUAHUA",
            "postal_code": "32300",
            "telephone_number": "915-613-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 LEEDS AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799031210",
            "telephone_number": "915-240-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELIA MANCERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "MANCERA",
        "authorized_official_first_name": "EVELIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "915-240-4174",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ZZ",
            "license": "2643666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 28, 2014; 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.