Organization Active NPI

Affordable El Paso Family Dental Associates PLLC

  • Dentist
  • El Paso, TX
National Provider Identifier
1780847566
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23061 Issued in TX
Legal business name
AFFORDABLE EL PASO FAMILY DENTAL ASSOCIATES PLLC
Practice address
1861 Robert Wynn St
Suite D
El Paso, TX 79936-4254
Phone
(915) 595-6680
Fax
(915) 595-6693
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Mehrnoosh Darj, D.D.S.NPI 1801939111
Title
Owner/President
Phone
(915) 595-6680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 23061 TX Primary

Addresses

Primary practice location

1861 Robert Wynn St
Suite D
El Paso, TX 79936-4254

Mailing address

1861 Robert Wynn St
Suite D
El Paso, TX 79936-4254
Phone (915) 595-6680

National Provider Directory

National Provider Directory

Locations

1861 Robert Wynn St
Ste D
El Paso, TX 79936
Phone (915) 595-6680

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1780847566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 ROBERT WYNN ST",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364254",
            "telephone_number": "915-595-6680",
            "fax_number": "915-595-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 ROBERT WYNN ST",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364254",
            "telephone_number": "915-595-6680",
            "fax_number": "915-595-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE EL PASO FAMILY DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DARJ",
        "authorized_official_first_name": "MEHRNOOSH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "915-595-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23061",
            "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 2, 2008; 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.