Active NPI
Miguel Rangel, DDS
- General Practice Dentistry
- El Paso, TX
National Provider Identifier
1376248963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40680
- Practice address
- 12900 Eastlake Blvd
Suite 111
El Paso, TX 79928 - Phone
- (915) 213-0332
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 40680 | TX | Primary |
Addresses
Primary practice location
12900 Eastlake Blvd
Suite 111
El Paso, TX 79928
Mailing address
12701 Eastlake Blvd Apt 411
El Paso, TX 79928-7823
Phone (469) 684-6380
Other practice location 1
9600 Golf Lakes Trl Apt 2076
Dallas, TX 75231-5021
Phone (469) 684-6380
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40680 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1376248963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12701 EASTLAKE BLVD APT 411",
"city": "EL PASO",
"state": "TX",
"postal_code": "799287823",
"telephone_number": "469-684-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 EASTLAKE BLVD",
"address_2": "SUITE 111",
"city": "EL PASO",
"state": "TX",
"postal_code": "79928",
"telephone_number": "915-213-0332"
}
],
"practiceLocations": [
{
"address_1": "9600 Golf Lakes Trl Apt 2076",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752315021",
"country_code": "US",
"telephone_number": "469-684-6380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANGEL",
"first_name": "MIGUEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2024-09-13",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "40680",
"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 13, 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.