Willis Elbert Maxwell, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11040 Issued in TX

Practice address

14509 Horizon Blvd
Horizon City, TX 79928-8564

Phone

(915) 852-5111

Fax

(915) 852-1056

NPI assigned

Mar 13, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Smiles, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Horizon City, TX
  • NPI 1336348127
  NPD (past) Authorized official

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1306349782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 PASEO DEL PRADO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363749",
            "telephone_number": "915-525-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14509 HORIZON BLVD",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288564",
            "telephone_number": "915-852-5111",
            "fax_number": "915-852-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "WILLIS",
        "middle_name": "ELBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosario Guadalupe Marin Munoz
• Armida Martinez, CCC-SLP
• Joanna Garza Martinez, PA C
• Autumn N Masters, PT
• Nadine P Mata, BA, LCDC, QMHP-CS
• Alexis T McCray, M.A.
• Medico Healthcare, PLLC
• Samuel Ofosu Melfah, PHARMD.,PHC
• Rubi Mendez
• Chioma J Mgbokwere, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Horizon City, TX
• Providers in Horizon City, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.