Samuel Richard Paredes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9532 Issued in TX

Practice address

1700 Murchison Dr
Suite 202
El Paso, TX 79902-2918

Phone

(915) 532-2396

Fax

(915) 532-3298

NPI assigned

Dec 1, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336217041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR",
            "address_2": "SUITE 202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022918",
            "telephone_number": "915-532-2396",
            "fax_number": "915-532-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR",
            "address_2": "SUITE 202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022918",
            "telephone_number": "915-532-2396",
            "fax_number": "915-532-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "SAMUEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkata Praveen Babu Parachuru, BDS, MDS, PHD
• Jacqueline Parada
• Jacqueline Desiree Parada, FNP-C
• Diamond I Pardo
• Katia Esther Paredes, LCSW
• Amanda Paredez, MS, CCC-SLP
• Divya Parepalli, MD
• Marcos Alfredo Parga, M.P.T.
• Graciela Pargas
• Alexa R Parilla

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.