Organization Active NPI

Rise Dental

  • Dentist
  • El Paso, TX
National Provider Identifier
1790493252
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RISE DENTAL
Practice address
255 Shadow Mountain Dr Ste G&H
El Paso, TX 79912-4757
Phone
(915) 831-9656
NPI assigned
Nov 14, 2022
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Nasim Salloum, DDSNPI 1497365662
Title
Owner
Phone
(915) 831-9656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

255 Shadow Mountain Dr Ste G&H
El Paso, TX 79912-4757

Mailing address

255 Shadow Mountain Dr Ste G&H
El Paso, TX 79912-4757
Phone (915) 831-9656

National Provider Directory

National Provider Directory

Locations

255 Shadow Mountain Dr
Ste Gh
El Paso, TX 79912
Phone (915) 831-9656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1790493252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SHADOW MOUNTAIN DR STE G&H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124757",
            "telephone_number": "915-831-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SHADOW MOUNTAIN DR STE G&H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124757",
            "telephone_number": "915-831-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "NASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-831-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "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 Jan 27, 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.