El Paso Family Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EL PASO FAMILY DENTAL PLLC

Doing business as

Drs Spivak and Williams

Practice address

8815 Dyer St Ste 210
El Paso, TX 79904-2035

Phone

(915) 755-7697

Fax

(915) 751-1056

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jake Williams, DDSNPI 1730597832

Title

Owner

Phone

(385) 335-0929

Specialties & licenses 1

Addresses

Other names 1

• Drs Spivak and Williams Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jake Williams, DDS

  • Dentist
  • Colorado Springs, CO
  • NPI 1730597832
  NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1861057648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 DYER ST STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042035",
            "telephone_number": "915-755-7697",
            "fax_number": "915-751-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 DYER ST STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042035",
            "telephone_number": "915-755-7697",
            "fax_number": "915-751-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-335-0929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Spivak and Williams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• El Paso Eyeworks PC
• El Paso Family and Trauma Counseling
• El Paso Family Medicine and Mental Health Clinic PLLC
• El Paso First Health Plan, Inc (El Paso First Health Plans, Inc)
• El Paso Foot and Ankle Imaging
• El Paso Gastroenterology Consultants, Inc. (El Paso Gastroenterology Consultants, PA.)
• El Paso Hand Rehabilitation Center, Inc.

• Dental Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.