Organization Active NPI

Alfredo Melendez

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1508322793
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALFREDO MELENDEZ
Practice address
2300 George Dieter Dr
El Paso, TX 79936-3963
Phone
(915) 996-9866
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Alfredo Melendez, DDS
Title
Owner
Phone
(915) 996-9866

Specialties & licenses 1

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

Addresses

Primary practice location

2300 George Dieter Dr
El Paso, TX 79936-3963

Mailing address

2300 George Dieter Dr
El Paso, TX 79936-3963
Phone (915) 996-9866

Other identifiers 1

IdentifierTypeStateIssuer
5368350OtherTXUNITED HEALTH CARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1508322793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363963",
            "telephone_number": "915-996-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363963",
            "telephone_number": "915-996-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO MELENDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-996-9866",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5368350",
            "state": "TX"
        }
    ],
    "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 Feb 13, 2019; 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.