Active NPI
Suzy Bishara, DDS
- General Practice Dentistry
- El Paso, TX
National Provider Identifier
1710214200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25092
- Practice address
- 1840 N Lee Trevino Dr
Suite 405-407
El Paso, TX 79936-4136 - Phone
- (800) 920-9947
- Fax
- (678) 904-5666
- NPI assigned
- Nov 4, 2009
- Last updated
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25092 | TX | |
| General Practice Dentistry | 1223G0001X | 25092 | TX | Primary |
Addresses
Primary practice location
1840 N Lee Trevino Dr
Suite 405-407
El Paso, TX 79936-4136
Mailing address
400 Galleria Pkwy SE
Suite 800
Atlanta, GA 30339-5980
Phone (770) 916-5362
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25092 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bishara Dental | General Practice | Past | Accepting new patients |
| Horizon Dental Group New River | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- New River, AZ
- NPI 1437383759
-
- Dentist
- New River, AZ
- NPI 1770015992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1710214200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GALLERIA PKWY SE",
"address_2": "SUITE 800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395980",
"telephone_number": "770-916-5362",
"fax_number": "678-247-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 N LEE TREVINO DR",
"address_2": "SUITE 405-407",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364136",
"telephone_number": "800-920-9947",
"fax_number": "678-904-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHARA",
"first_name": "SUZY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25092",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25092",
"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 Sep 7, 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.