Active NPI
Peak Family Dental, PC
- Dental Clinic/Center
- El Paso, TX
National Provider Identifier
1518438878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PEAK FAMILY DENTAL, PC
- Practice address
- 7470 Cimarron Market
BLDG 6 Ste 300
El Paso, TX 79911 - Phone
- (915) 229-6475
- NPI assigned
- Dec 16, 2018
- 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
- Dr. Iseoluwa Adebola Adedeji, BDS
- Title
- Dentist
- Phone
- (210) 379-0044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
7470 Cimarron Market
BLDG 6 Ste 300
El Paso, TX 79911
Mailing address
6353 Calle del Rio
El Paso, TX 79912-3436
Phone (210) 379-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427294438 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1427294438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544918400000",
"number": "1518438878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6353 CALLE DEL RIO",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123436",
"telephone_number": "210-379-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7470 CIMARRON MARKET",
"address_2": "BLDG 6 STE 300",
"city": "EL PASO",
"state": "TX",
"postal_code": "79911",
"telephone_number": "915-229-6475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK FAMILY DENTAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A",
"authorized_official_last_name": "ADEDEJI",
"authorized_official_first_name": "ISEOLUWA",
"authorized_official_middle_name": "ADEBOLA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "210-379-0044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427294438",
"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 Dec 16, 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.