Organization Active NPI

Mejia-Maidl Orthodontics, P.a.

  • Dentist
  • El Paso, TX
National Provider Identifier
1467737312
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20351 Issued in TX
Legal business name
MEJIA-MAIDL ORTHODONTICS, P.A.
Practice address
9130 Viscount Blvd
El Paso, TX 79925-6512
Phone
(915) 500-5602
Fax
(915) 500-5604
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Martha Mejia-Maidl, D.D.S., M.S.
Title
President
Phone
(915) 500-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20351 TX Primary

Addresses

Primary practice location

9130 Viscount Blvd
El Paso, TX 79925-6512

Mailing address

9130 Viscount Blvd
El Paso, TX 79925-6512
Phone (915) 500-5602

National Provider Directory

National Provider Directory

Locations

9130 Viscount Blvd
El Paso, TX 79925
Phone (915) 500-5602

Practitioners & affiliated clinicians

Practitioners 1

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": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1467737312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 VISCOUNT BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256512",
            "telephone_number": "915-500-5602",
            "fax_number": "915-500-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 VISCOUNT BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256512",
            "telephone_number": "915-500-5602",
            "fax_number": "915-500-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEJIA-MAIDL ORTHODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "MEJIA-MAIDL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-500-5602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20351",
            "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 Oct 11, 2011; 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.