Active NPI
Erica Van Etta, DMD
- Dentist
- El Paso, TX
National Provider Identifier
1750057402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37753
- Practice address
- 1320 N Zaragoza Rd Ste 110
El Paso, TX 79936-7930 - Phone
- (915) 262-4640
- NPI assigned
- Aug 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37753 | TX | Primary |
Addresses
Primary practice location
1320 N Zaragoza Rd Ste 110
El Paso, TX 79936-7930
Mailing address
14693 Oldenberg CT
El Paso, TX 79938-1013
Phone (571) 232-7887
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1750057402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14693 OLDENBERG CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799381013",
"telephone_number": "571-232-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N ZARAGOZA RD STE 110",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367930",
"telephone_number": "915-262-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ETTA",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37753",
"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 Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.