Active NPI
David Vainsencher, MD
- Dermatology Physician
- El Paso, TX
National Provider Identifier
1336664044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G0889
- Practice address
- 3607 Rivera Ave
El Paso, TX 79905-2415 - Phone
- (915) 533-7057
- Fax
- (915) 533-7057
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G0889 | TX | Primary |
Addresses
Primary practice location
3607 Rivera Ave
El Paso, TX 79905-2415
Mailing address
3607 Rivera Ave
El Paso, TX 79905-2415
Phone (915) 533-7057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0889 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336664044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 RIVERA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052415",
"telephone_number": "915-533-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 RIVERA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052415",
"telephone_number": "915-533-7057",
"fax_number": "915-533-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAINSENCHER",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "G0889",
"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 Jul 21, 2022; 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.