Active NPI
Arturo J Bejarano Jr DDS PC
- General Practice Dentistry
- El Paso, TX
National Provider Identifier
1750522413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 012791
- Legal business name
- ARTURO J BEJARANO JR DDS PC
- Practice address
- 5630 Gateway Blvd E Ste 4
El Paso, TX 79905-1748 - Phone
- (915) 772-5200
- Fax
- (915) 772-8907
- NPI assigned
- Mar 10, 2009
- 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
- Dr. Arturo J Bejarano, D.D.S.
- Title
- Dentist
- Phone
- (915) 772-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 012791 | TX | Primary |
Addresses
Primary practice location
5630 Gateway Blvd E Ste 4
El Paso, TX 79905-1748
Mailing address
5630 Gateway Blvd E Ste 4
El Paso, TX 79905-1748
Phone (915) 772-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009787501 | Medicaid | TX | |
| 009812101 | Medicaid | TX |
Other names 1
- Arturo J Bejarano Jr., D.D.S., P.C.
National Provider Directory
National Provider DirectoryLocations
5630 Gateway Blvd E
Ste 4
El Paso, TX 79905
Phone (915) 772-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382054400000",
"number": "1750522413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 GATEWAY BLVD E STE 4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051748",
"telephone_number": "915-772-5200",
"fax_number": "915-772-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 GATEWAY BLVD E STE 4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051748",
"telephone_number": "915-772-5200",
"fax_number": "915-772-8907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTURO J BEJARANO JR DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-10",
"last_updated": "2013-10-18",
"status": "A",
"authorized_official_last_name": "BEJARANO",
"authorized_official_first_name": "ARTURO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "915-772-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "012791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009787501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009812101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arturo J Bejarano Jr., D.D.S., P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.