NPIMap

Organization Active NPI

Desert Sun Chiropractic East LLC

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1679104178
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DESERT SUN CHIROPRACTIC EAST LLC
Practice address
1387 George Dieter Dr Ste A108
El Paso, TX 79936-7410
Phone
(915) 857-6607
Fax
(915) 838-1700
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Michael Anthony Ontiveros, DC
Title
Doctor of Chiropractic
Phone
(915) 857-6607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1387 George Dieter Dr Ste A108
El Paso, TX 79936-7410

Mailing address

3800 N Mesa St Ste C1
El Paso, TX 79902-1535
Phone (915) 857-6607

Other identifiers 2

IdentifierTypeStateIssuer
8F5089MedicaidTX
8V5180OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

3800 N Mesa St
Ste C1
El Paso, TX 79902
Phone (915) 838-1500

1470 George Dieter Dr
Ste C
El Paso, TX 79936
Phone (915) 857-6607

1387 George Dieter Dr
Ste A108
El Paso, TX 79936
Phone (915) 857-6607

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1679104178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021535",
            "telephone_number": "915-857-6607",
            "fax_number": "915-838-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR STE A108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-857-6607",
            "fax_number": "915-838-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SUN CHIROPRACTIC EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "915-857-6607",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8F5089",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V5180",
            "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 Apr 16, 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.