Organization Active NPI

PHDC, PLLC

  • Dentist
  • El Paso, TX
National Provider Identifier
1477291326
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PHDC, PLLC
Doing business as
Pebble Hills Dental Care
Practice address
11680 Pebble Hills Blvd Ste 102
El Paso, TX 79936-1091
Phone
(915) 271-4154
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Casie Garcia
Title
Billing Operations
Phone
(915) 219-4713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

11680 Pebble Hills Blvd Ste 102
El Paso, TX 79936-1091

Mailing address

10510 Montwood Dr Ste a
El Paso, TX 79935-2717

Other names 1

  • Pebble Hills Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

11680 Pebble Hills Blvd
Ste 102
El Paso, TX 79936
Phone (915) 271-4154

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1477291326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 PEBBLE HILLS BLVD STE 102",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361091",
            "telephone_number": "915-271-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHDC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "BILLING OPERATIONS",
        "authorized_official_telephone_number": "915-219-4713"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pebble Hills Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 2022; 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.