Active NPI
Raquel Cecilia Brentson, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- El Paso, TX
National Provider Identifier
1760891717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN20820
- Practice address
- 18511 Highlander Medics St
El Paso, TX 79906-5327 - Phone
- (915) 742-9810
- NPI assigned
- Aug 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20820 | FL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN20820 | FL | Primary |
Addresses
Primary practice location
18511 Highlander Medics St
El Paso, TX 79906-5327
Mailing address
Fort Bliss Dentac BLDG 2901 Cassidy Rd.
Fort Bliss, TX 79916
Phone (915) 742-2302
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20820 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1760891717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FORT BLISS DENTAC BLDG 2901 CASSIDY RD.",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79916",
"telephone_number": "915-742-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799065327",
"telephone_number": "915-742-9810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENTSON",
"first_name": "RAQUEL",
"middle_name": "CECILIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2023-04-17",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20820",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN20820",
"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 Apr 17, 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.