NPIMap

Organization Active NPI

El Paso Oral Surgery Center, PLLC

Doing business as El Paso Oral Maxillofacial And Implant Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • El Paso, TX
National Provider Identifier
1699133801
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EL PASO ORAL SURGERY CENTER, PLLC
Doing business as
El Paso Oral Maxillofacial And Implant Surgery Center
Practice address
7878 Gateway Blvd East
Suite 301
El Paso, TX 79915
Phone
(361) 992-3873
Fax
(361) 992-7328
NPI assigned
Feb 2, 2016
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Robert B Gulley, DDS
Title
Owner/Oral Surgeon
Phone
(361) 992-3873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

7878 Gateway Blvd East
Suite 301
El Paso, TX 79915

Mailing address

6421 Saratoga Blvd
BLDG 101
Corpus Christi, TX 78414
Phone (361) 992-3873

Other names 1

  • El Paso Oral Maxillofacial And Implant Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

7878 Gateway Blvd E
Ste 301
El Paso, TX 79915
Phone (361) 992-3873

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1699133801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD",
            "address_2": "BLDG 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-992-3873",
            "fax_number": "361-992-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 GATEWAY BLVD EAST",
            "address_2": "SUITE 301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79915",
            "telephone_number": "361-992-3873",
            "fax_number": "361-992-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO ORAL SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "361-992-3873",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Oral Maxillofacial And Implant Surgery Center",
            "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 Feb 2, 2016; 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.