Individual provider Active NPI

Edith Osorio, D.M.D.

  • Pediatric Dentistry
National Provider Identifier
1659710259
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3095 Issued in PR
Practice address
1800 McRae Boulevard
El Paso, TEXAS 79925
UM
Phone
(915) 592-4168
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3095 PR Primary

Addresses

Primary practice location

1800 McRae Boulevard
El Paso, TEXAS 79925
UM

Mailing address

458 Calle Alverio
Roosevelt Extension
San Juan, PR 00918-2619
Phone (787) 679-4827

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
3095PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holguin & Briggs PA Pediatric Dentistry Past Accepting new patients
Briggs & Fosbury, P.a. Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edith.osorio@direct.myhealthep.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1659710259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 CALLE ALVERIO",
            "address_2": "ROOSEVELT EXTENSION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182619",
            "telephone_number": "787-679-4827"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1800 MCRAE BOULEVARD",
            "city": "EL PASO",
            "state": "TEXAS",
            "postal_code": "79925",
            "telephone_number": "915-592-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "EDITH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.