NW Drive Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NW DRIVE DENTAL, PLLC

Practice address

12185 New World Dr
El Paso, TX 79936-6396

Phone

(915) 493-2840

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Sarabjit Khassa

Title

President/D.D.S.

Phone

(972) 512-0285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1497158745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12185 NEW WORLD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366396",
            "telephone_number": "915-493-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW DRIVE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "PRESIDENT/D.D.S.",
        "authorized_official_telephone_number": "972-512-0285"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.