Individual provider Active NPI

Sonchanin Chinsawananon, DDS

  • Dentist
  • El Paso, TX
National Provider Identifier
1346759883
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33564 Issued in TX
Practice address
1788 N Zaragoza Rd
El Paso, TX 79936-7909
Phone
(757) 469-6914
NPI assigned
Sep 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33564 TX Primary

Addresses

Primary practice location

1788 N Zaragoza Rd
El Paso, TX 79936-7909

Mailing address

705 N Monterey St Apt 105
Alhambra, CA 91801-1512
Phone (757) 469-6914

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

LicenseStateTypeSpecialty
33564TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1346759883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N MONTEREY ST APT 105",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011512",
            "telephone_number": "757-469-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367909",
            "telephone_number": "757-469-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINSAWANANON",
        "first_name": "SONCHANIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33564",
            "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 27, 2017; 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.