Individual provider Active NPI

Richard Andrew Bandley, D.M.D.

  • General Practice Dentistry
  • Horizon City, TX
National Provider Identifier
1366820797
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30870 Issued in TX
Practice address
14010 Horizon Blvd Ste S
Horizon City, TX 79928-7084
Phone
(915) 260-8666
Fax
(915) 260-8551
NPI assigned
May 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30870 TX Primary

Addresses

Primary practice location

14010 Horizon Blvd Ste S
Horizon City, TX 79928-7084

Mailing address

14010 Horizon Blvd Ste S
Horizon City, TX 79928-7084
Phone (915) 260-8666

Other practice location 1

500 N Zaragoza Rd Ste K
El Paso, TX 79907-4737
Phone (915) 201-2610

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
30870TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Luv Dental of El Paso PLLC General Practice CurrentSince Feb 4, 2024 Accepting new patients

Locations

500 N Zaragoza Rd
Ste K
El Paso, TX 79907
Phone (915) 201-2610

14010 Horizon Blvd
Ste S
Horizon City, TX 79928
Phone (915) 260-8666

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1366820797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 HORIZON BLVD STE S",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287084",
            "telephone_number": "915-260-8666",
            "fax_number": "915-260-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 HORIZON BLVD STE S",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287084",
            "telephone_number": "915-260-8666",
            "fax_number": "915-260-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Zaragoza Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799074737",
            "country_code": "US",
            "telephone_number": "915-201-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDLEY",
        "first_name": "RICHARD",
        "middle_name": "ANDREW",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.