5000 Doniphan PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

5000 DONIPHAN PLLC

Doing business as

West El Paso Dentist

Practice address

5000 Doniphan Dr Ste 101
El Paso, TX 79932-1603

Phone

(915) 285-0615

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By 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

Heather Cordova

Title

Operations Manager

Phone

(915) 490-8698

Specialties & licenses 1

Addresses

Other names 1

• West El Paso Dentist Doing business as

Locations

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.

• Klarissa Dominique Flores

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1932801818
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1669167128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352717",
            "telephone_number": "915-219-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN DR STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321603",
            "telephone_number": "915-285-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5000 DONIPHAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "915-490-8698"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West El Paso Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.