Active NPI
El Paso Dental Care
- General Practice Dentistry
- El Paso, TX
National Provider Identifier
1740308568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13460
- Legal business name
- EL PASO DENTAL CARE
- Practice address
- 11625 Pellicano Dr
El Paso, TX 79936-6242 - Phone
- (915) 855-8484
- Fax
- (915) 855-1819
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Therese A. Gutierrez
- Title
- Office Manager
- Phone
- (915) 855-8484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13460 | TX | Primary |
Addresses
Primary practice location
11625 Pellicano Dr
El Paso, TX 79936-6242
Mailing address
11625 Pellicano Dr
El Paso, TX 79936-6242
Phone (915) 855-8484
National Provider Directory
National Provider DirectoryLocations
11625 Pellicano Dr
El Paso, TX 79936
Phone (915) 855-8484
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- El Paso, TX
- NPI 1861404378
-
- Dentist
- El Paso, TX
- NPI 1164941514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740308568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11625 PELLICANO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366242",
"telephone_number": "915-855-8484",
"fax_number": "915-855-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11625 PELLICANO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366242",
"telephone_number": "915-855-8484",
"fax_number": "915-855-1819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL PASO DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "THERESE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "915-855-8484",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- El Paso Day Surgery LLC
- El Paso Dedicated Services
- El Paso del Norte Home Health Agency, Inc.
- El Paso del Norte Surgical Group, PA
- El Paso del Norte Urologists, PA
- El Paso Dental Care PLLC
- El Paso Diabetes Association, Inc.
- El Paso Diagnostic Imaging CT LTD
- El Paso Doctors of Chiropractiic, Inc
- El Paso Ear Nose & Throat Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.