Individual provider Active NPI

Nada Dallo, DDS

  • Dentist
  • El Paso, TX
National Provider Identifier
1811007917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15305 Issued in TX
Practice address
7598 N Mesa
Ste B4
El Paso, TX 79912
Phone
(915) 584-8894
Fax
(915) 584-8894
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15305 TX Primary

Addresses

Primary practice location

7598 N Mesa
Ste B4
El Paso, TX 79912

Mailing address

7598 N Mesa
Ste B4
El Paso, TX 79912
Phone (915) 584-8894

Other identifiers 2

IdentifierTypeStateIssuer
B153051OtherCHIP DELTA DENTAL
808227OtherUNITED CONCORDIA

Other names 1

  • Miss Naida Dallo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520000589 TX Order and Referring Only - DentistPractitioner - Dentist 2466741012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15305TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811007917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7598 N MESA",
            "address_2": "STE B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-584-8894",
            "fax_number": "915-584-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7598 N MESA",
            "address_2": "STE B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-584-8894",
            "fax_number": "915-584-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLO",
        "first_name": "NADA",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP DELTA DENTAL",
            "identifier": "B153051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "808227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAIDA",
            "last_name": "DALLO",
            "prefix": "MISS",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.