Organization Active NPI

Am Integrative Dental Care of El Paso PC

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1497240535
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AM INTEGRATIVE DENTAL CARE OF EL PASO PC
Practice address
5939 Gateway Blvd W Ste B
El Paso, TX 79925-3301
Phone
(915) 779-6403
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Natalie Rodriquez
Title
Office Representative
Phone
(915) 779-6403

Specialties & licenses 1

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

Addresses

Primary practice location

5939 Gateway Blvd W Ste B
El Paso, TX 79925-3301

Mailing address

5939 Gateway Blvd W Ste B
El Paso, TX 79925-3301

National Provider Directory

National Provider Directory

Locations

5939 Gateway Blvd W
Ste B
El Paso, TX 79925
Phone (915) 779-6403

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": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1497240535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 GATEWAY BLVD W STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 GATEWAY BLVD W STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253301",
            "telephone_number": "915-779-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM INTEGRATIVE DENTAL CARE OF EL PASO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OFFICE REPRESENTATIVE",
        "authorized_official_telephone_number": "915-779-6403"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jun 29, 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.