Individual provider Active NPI

Kazune Pax, DDS, PHD

  • Dentist
  • El Paso, TX
National Provider Identifier
1770322760
Registry record updated Jul 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42405 Issued in TX
Practice address
11680 Pebble Hills Blvd
El Paso, TX 79936-1090
Phone
(915) 289-2301
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027477 OH
Dentist 122300000X 42405 TX Primary

Addresses

Primary practice location

11680 Pebble Hills Blvd
El Paso, TX 79936-1090

Mailing address

11605 Saint Thomas Way
El Paso, TX 79936-2143

Other practice location 1

7798 Discovery Dr Ste D
West Chester, OH 45069-7747
Phone (513) 759-4485

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30.027477OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Chester Center for Dentistry Campbell LLC PastSince May 26, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1770322760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 SAINT THOMAS WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 PEBBLE HILLS BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361090",
            "telephone_number": "915-289-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7798 Discovery Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450697747",
            "country_code": "US",
            "telephone_number": "513-759-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAX",
        "first_name": "KAZUNE",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027477",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42405",
            "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 Jul 5, 2026; 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.