Individual provider Active NPI

Alejandro Sosa, D.M.D

  • Prosthodontics
  • El Paso, TX
National Provider Identifier
1548512601
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
27864 Issued in TX
Practice address
255 Shadow Mountain Dr Ste H
El Paso, TX 79912-4714
Phone
(915) 519-1070
Fax
(915) 895-4299
NPI assigned
Oct 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2908 PR
Prosthodontics 1223P0700X 27864 TX Primary

Addresses

Primary practice location

255 Shadow Mountain Dr Ste H
El Paso, TX 79912-4714

Mailing address

6435 Calle del Sol Dr
El Paso, TX 79912-7523
Phone (787) 381-5717

Other practice location 1

545 E Redd Rd Ste B
El Paso, TX 79912-1294
Phone (915) 581-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27864TXMDProsthodontist
2908PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1548512601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 CALLE DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127523",
            "telephone_number": "787-381-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SHADOW MOUNTAIN DR STE H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124714",
            "telephone_number": "915-519-1070",
            "fax_number": "915-895-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 E Redd Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799121294",
            "country_code": "US",
            "telephone_number": "915-581-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-12",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2908",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "27864",
            "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 Jan 11, 2024; 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.