NPIMap

Organization Active NPI

Modern Dental Professionals-El Paso, PC

Doing business as Monarch Dental

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1548330210
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12072 Issued in TX
Legal business name
MODERN DENTAL PROFESSIONALS-EL PASO, PC
Doing business as
Monarch Dental
Practice address
7040 N Mesa St
Suite a
El Paso, TX 79912-3669
Phone
(915) 833-1800
Fax
(915) 833-5724
NPI assigned
Nov 9, 2006
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Dr. Roy D. Smith, DDS
Title
Owner
Phone
(815) 833-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12072 TX Primary

Addresses

Primary practice location

7040 N Mesa St
Suite a
El Paso, TX 79912-3669

Mailing address

6501 Windcrest Dr Ste 100
Plano, TX 75024-3087
Phone (972) 212-8200

Other names 1

  • Monarch Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7040 N Mesa St
Ste A
El Paso, TX 79912
Phone (915) 833-1800

6501 Windcrest Dr
Ste 100
Plano, TX 75024
Phone (972) 212-8135

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1548330210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 WINDCREST DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243087",
            "telephone_number": "972-212-8200",
            "fax_number": "972-767-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 N MESA ST",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123669",
            "telephone_number": "915-833-1800",
            "fax_number": "915-833-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS-EL PASO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-833-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2009; 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.