Individual provider Active NPI

Adrien Lancelot Charles-Marcel, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • El Paso, TX
National Provider Identifier
1801389184
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
41272 Issued in TX
Practice address
10175 Gateway Blvd W Ste 304
El Paso, TX 79925-2203
Phone
(915) 504-6880
NPI assigned
Jun 11, 2018
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103637 CA
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 41272 TX Primary

Addresses

Primary practice location

10175 Gateway Blvd W Ste 304
El Paso, TX 79925-2203

Mailing address

1770 Cimarron SQ
El Paso, TX 79911-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212000173 MD Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 5092053348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103637CAMDMarriage & Family Therapist
41272TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Umc El Paso Healthcare Inc Oral and Maxillofacial Surgery CurrentSince Jun 1, 2025 Accepting new patients
West Texas Maxillofacial Surgery PA CurrentSince Jul 9, 2025 Accepting new patients

Locations

10175 Gateway Blvd W
Ste 304
El Paso, TX 79925
Phone (915) 504-6880

Interoperability endpoints

  • Direct secure messaging: acharlesmarcel257214@direct.llu.edu
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1801389184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 CIMARRON SQ",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799112200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252203",
            "telephone_number": "915-504-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES-MARCEL",
        "first_name": "ADRIEN",
        "middle_name": "LANCELOT",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103637",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "41272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.