Active NPI
PHDC, PLLC
- Dentist
- El Paso, TX
National Provider Identifier
1477291326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.