Individual provider Active NPI

Paul Sunghee Ro, D.D.S

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1457469694
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20877 Issued in TX
Practice address
Paul Ro, DDS
2531 E. Yandell Dr
El Paso, TX 79903
Phone
(915) 921-5331
Fax
(915) 921-5333
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 20877 TX
General Practice Dentistry 1223G0001X 20877 TX Primary

Addresses

Primary practice location

Paul Ro, DDS
2531 E. Yandell Dr
El Paso, TX 79903

Mailing address

2209 Pittsburg Ave
El Paso, TX 79930-1121
Phone (915) 921-5331

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
20877TXMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1457469694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 PITTSBURG AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799301121",
            "telephone_number": "915-921-5331",
            "fax_number": "915-921-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PAUL RO, DDS",
            "address_2": "2531 E. YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79903",
            "telephone_number": "915-921-5331",
            "fax_number": "915-921-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "PAUL",
        "middle_name": "SUNGHEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "20877",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20877",
            "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 18, 2018; 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.