NPIMap

Organization Active NPI

Green Family Dental PC

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1871997585
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25959 Issued in TX
Legal business name
GREEN FAMILY DENTAL PC
Practice address
10510 Montwood Dr
Suite D
El Paso, TX 79935-2703
Phone
(915) 778-4681
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Rachel Greenhalgh
Title
Administration
Phone
(915) 778-4681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25959 TX Primary

Addresses

Primary practice location

10510 Montwood Dr
Suite D
El Paso, TX 79935-2703

Mailing address

10510 Montwood Dr
Suite B
El Paso, TX 79935-2703
Phone (915) 778-4681

National Provider Directory

National Provider Directory

Locations

10510 Montwood Dr
Ste D
El Paso, TX 79935
Phone (915) 594-1173

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1871997585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352703",
            "telephone_number": "915-778-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR",
            "address_2": "SUITE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352703",
            "telephone_number": "915-778-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "GREENHALGH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "915-778-4681"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.