Paisano Kidz Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25179 Issued in TX

Legal business name

PAISANO KIDZ DENTAL, PLLC

Practice address

5301 Alameda Ave
Suite E
El Paso, TX 79905-2805

Phone

(602) 463-9258

Fax

(915) 351-6601

NPI assigned

May 10, 2011

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Al-Hashimi, DDS

Title

President

Phone

(602) 463-9258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1518259563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 ALAMEDA AVE",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052805",
            "telephone_number": "602-463-9258",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALAMEDA AVE",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052805",
            "telephone_number": "602-463-9258",
            "fax_number": "915-351-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAISANO KIDZ DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "AL-HASHIMI",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-463-9258",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Paico
• Douglas Paige, DO
• Paincare Latino PLLC (PainCare Proactive)
• Craig Leslie Paine, RN
• Esmeralda Valentina Painter, RD
• Paisano Medical Center, LP
• Hemant Pal, MD
• Jeremy Francis Palacio, MD
• Manuela Palacio, LPC
• Irving A Palacios Y Trejo, SA-C

• Pediatric Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.