Mendoza Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MENDOZA FAMILY DENTISTRY PLLC

Doing business as

Cielo Dental and Orthodontics

Practice address

6351 S Desert Blvd Ste 210
El Paso, TX 79932-1233

Phone

(972) 869-3789

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Cielo Dental and Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1891211322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 S DESERT BLVD STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321233",
            "telephone_number": "972-869-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cielo Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Garcia Mendiola Jr., M.D
• Raquel Mendiola, RD
• Mendivil Clinic for Foot & Ankle
• Jason Max Mendivil, DPM
• Rosa Mendivil, PTA
• Hector Manuel Mendoza Garcia
• Jorge Luis Mendoza Martinez, REGISTERED NURSE
• Suzanne Mendoza-Luna, M.S. CCC-SLP
• Karina Yvette Mendoza-Marcial, NP
• Adamaris Mendoza

• 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 Dec 16, 2021; 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.