NPIMap

Organization Active NPI

Texas Kids Dental Care Horizon

  • Dentist
  • El Paso, TX
National Provider Identifier
1376888305
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24362 Issued in TX
Legal business name
TEXAS KIDS DENTAL CARE HORIZON
Practice address
13468 Eastlake Blvd.
El Paso, TX 79928-6320
Phone
(915) 852-5060
Fax
(915) 852-3300
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Jeffrey Todd Erickson, DMDNPI 1194708438
Title
Owner
Phone
(480) 221-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24362 TX Primary

Addresses

Primary practice location

13468 Eastlake Blvd.
El Paso, TX 79928-6320

Mailing address

13468 Eastlake Blvd.
El Paso, TX 79928-6320
Phone (915) 852-5060

National Provider Directory

National Provider Directory

Locations

13468 Eastlake Blvd
Horizon City, TX 79928
Phone (915) 852-5060

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1376888305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13468 EASTLAKE BLVD.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799286320",
            "telephone_number": "915-852-5060",
            "fax_number": "915-852-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13468 EASTLAKE BLVD.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799286320",
            "telephone_number": "915-852-5060",
            "fax_number": "915-852-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDS DENTAL CARE HORIZON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-221-8166",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24362",
            "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 Apr 28, 2023; 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.