Juan A Verastegui, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36490 Issued in TX

Practice address

12261 Eastlake Blvd Ste E507
El Paso, TX 79928-7800

Phone

(915) 205-3500

Fax

(915) 205-3510

NPI assigned

Aug 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elite Family Dentistry PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1043088727
  NPD Authorized official
• City View Dental PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1104645738
  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1841801586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 EASTLAKE BLVD STE E507",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799287800",
            "telephone_number": "915-205-3500",
            "fax_number": "915-205-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12261 EASTLAKE BLVD STE E507",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799287800",
            "telephone_number": "915-205-3500",
            "fax_number": "915-205-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERASTEGUI",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-16",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Venzor
• Rebecca Vera-Lopez, L..P.C.
• Felipe Vera Jr., LCSW
• Katelyn Vera
• Robert W. Vera, M.D.
• Michelle Adriana Verduzco, FNP-C
• Verity Medical Services, LLC
• Kalpana M Verma, MD
• Andrew Anthony Vernon
• Veronica Mascorro Mental Health Counseling Services

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.