Raquel Baamonde Kirwin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30359 Issued in TX

Practice address

12040 Tierra Este Rd Ste B212
El Paso, TX 79938-4672

Phone

(915) 249-2298

Fax

(915) 249-4160

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tierra Este Family Dentistry

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1215824552
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831599083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 TIERRA ESTE RD STE B212",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384672",
            "telephone_number": "915-249-2298",
            "fax_number": "915-249-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 TIERRA ESTE RD STE B212",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384672",
            "telephone_number": "915-249-2298",
            "fax_number": "915-249-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 N Piedras St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799304210",
            "country_code": "US",
            "telephone_number": "915-564-7941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 N Piedras St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799304210",
            "country_code": "US",
            "telephone_number": "915-564-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRWIN",
        "first_name": "RAQUEL",
        "middle_name": "BAAMONDE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "30359",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Kinson, LCSW
• Christopher K Kipkoech
• Raymond Alan Kirby, LVN
• Anna Nichole Kirchoff, FNP- C
• Kelli Kirkpatrick, DPT
• Todd H. S. Kitamori, PHARMD
• Savannah Kizzie, LPC
• Margaret Klausmeyer, MD
• Maria Deprang Klein, FNP
• Terren D Klein, MD

• 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.