Texas Kids Dental Care of Montana Vista, PA.

Primary specialty

DentistTaxonomy code 122300000X

License

24362 Issued in TX

Legal business name

TEXAS KIDS DENTAL CARE OF MONTANA VISTA, PA.

Practice address

3650 Joe Battle
El Paso, TX 79938-2628

Phone

(915) 855-0948

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Priscilla Porras

Title

General Manager

Phone

(915) 855-0948

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Weronika Paula Douglas, D.D.S.

  • Dentist
  • El Paso, TX
  • NPI 1275061822
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1821368507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 JOE BATTLE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382628",
            "telephone_number": "915-855-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOE BATTLE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382628",
            "telephone_number": "915-855-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDS DENTAL CARE OF MONTANA VISTA, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "915-855-0948"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Imaging Services of El Paso
• Texas Integrative Medicine and Cardiology, PLLC
• Texas Integrative Medicine and Cardiology, PLLC
• Texas Integrative Medicine Cardiology and Primary Care PLLC
• Texas Kids Dental Care Horizon
• Texas Kids Dental Care PA
• Texas Kids Dental Care West PA
• Texas Medical and Psychiatric Associates
• Texas Oncology PA
• Texas Orthopaedic Therapy Specialist PC

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.