NPIMap

Organization Active NPI

United Orthodontics of North East El Paso PLLC

Doing business as SmileLife Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
National Provider Identifier
1790121705
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
UNITED ORTHODONTICS OF NORTH EAST EL PASO PLLC
Doing business as
SmileLife Orthodontics
Practice address
7878 Gateway Blvd E Ste 300
El Paso, TX 79915-1802
Phone
(915) 755-7900
Fax
(915) 259-1305
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. Camaron Martin, D.D.S.
Title
Owner/Provider
Phone
(210) 962-6421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

7878 Gateway Blvd E Ste 300
El Paso, TX 79915-1802

Mailing address

3201 Cherry Ridge St Ste A101
San Antonio, TX 78230-4824
Phone (210) 962-6421

Other names 1

  • SmileLife Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Horizon Smiles Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 Cherry Ridge Dr
Ste A101
San Antonio, TX 78230

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1790121705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE A101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304824",
            "telephone_number": "210-962-6421",
            "fax_number": "915-755-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 GATEWAY BLVD E STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151802",
            "telephone_number": "915-755-7900",
            "fax_number": "915-259-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ORTHODONTICS OF NORTH EAST EL PASO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CAMARON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "210-962-6421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileLife Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SmileLife Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 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.

Verify at the official NPI Registry.