Individual provider Active NPI

Karmin Yadira Vela Montelongo I

  • Dentist
  • El Paso, TX
National Provider Identifier
1790590602
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9030209 Issued in TX
Practice address
718 S El Paso St Ste a
El Paso, TX 79901-2732
Phone
(915) 491-4503
NPI assigned
Feb 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9030209 TX Primary

Addresses

Primary practice location

718 S El Paso St Ste a
El Paso, TX 79901-2732

Mailing address

718 S El Paso St Ste a
El Paso, TX 79901-2732
Phone (915) 491-4503

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

LicenseStateTypeSpecialty
9030209TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1790590602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S EL PASO ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799012732",
            "telephone_number": "915-491-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S EL PASO ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799012732",
            "telephone_number": "915-491-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA MONTELONGO",
        "first_name": "KARMIN",
        "middle_name": "YADIRA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9030209",
            "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 Feb 8, 2025; 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.