Organization Active NPI

Arturo J Bejarano Jr DDS PC

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1750522413
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012791 Issued in TX
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

Updated by the provider on Oct 18, 2013

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
009787501MedicaidTX
009812101MedicaidTX

Other names 1

  • Arturo J Bejarano Jr., D.D.S., P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.