DDC El Paso PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DDC EL PASO PLLC

Doing business as

Dyer Dental Care

Practice address

3932 Fort Blvd
El Paso, TX 79930-6208

Phone

(915) 566-9415

NPI assigned

Apr 10, 2023

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

• Dyer Dental Care Doing business as

Locations

Practitioners 2

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

• Bryan M Janos, DDS

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1487726188
  NPD (past)
• Wendy Lynn Lara, DDS

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1821094228
  NPD (past)

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": "1710672274",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 FORT BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799306208",
            "telephone_number": "915-566-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDC EL PASO 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": "Dyer Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daylight Adult Foster Home Care
• Alison L Days, MD
• DB Adult Day Care LLC
• DC Gastro Konsult (DC Medical Konsult)
• DCS Diabetic Care Solutions
• DDG Management, LLC (A New You)
• DDLS Group LLC (Fastest Labs of El Paso)
• Lara Faria De Almeida
• Cassandra De Anda
• Evan Oscar De Anda, PHARMD

• 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.