Active NPI
Adelina Ibanez
- Dental Assistant
- El Paso, TX
National Provider Identifier
1285180893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 199550
- Practice address
- 5005 N. Piedras St. 2ND Floor RM 2112
William Beaumont Army Medical Center
El Paso, TX 79920 - Phone
- (915) 328-2511
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 199550 | NJ | Primary |
Addresses
Primary practice location
5005 N. Piedras St. 2ND Floor RM 2112
William Beaumont Army Medical Center
El Paso, TX 79920
Mailing address
277 S Washington St Ste 300
Alexandria, VA 22314-3674
Phone (571) 499-5002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 199550 | NJ | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1285180893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 S WASHINGTON ST STE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143674",
"telephone_number": "571-499-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N. PIEDRAS ST. 2ND FLOOR RM 2112",
"address_2": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-328-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBANEZ",
"first_name": "ADELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "NJ",
"license": "199550",
"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 Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.