El Paso Viva Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25483 Issued in TX

Legal business name

EL PASO VIVA DENTAL

Practice address

9584 Dyer St.
Suite B
El Paso, TX 79924

Phone

(915) 751-1007

Fax

(915) 751-1002

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By 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. Chunkil Yi, DDSNPI 1982924171

Title

President

Phone

(915) 751-1007

Specialties & licenses 1

Addresses

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.

• Chunkil Yi

  • Dentist
  • El Paso, TX
  • NPI 1982924171
  NPD (past) Authorized official

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1902144330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9584 DYER ST",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244768",
            "telephone_number": "915-751-1007",
            "fax_number": "915-751-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9584 DYER ST.",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79924",
            "telephone_number": "915-751-1007",
            "fax_number": "915-751-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO VIVA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "CHUNKIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-751-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Paso Vamc
• El Paso Vamc
• El Paso Vascular P a
• El Paso VI Enterprises, L.L.C. (St. Teresa Nursing & Rehab Center)
• El Paso VIII Enterprises, LLC (Vista Hills Health Care Center)
• El Paso Wellness and Healthcare Center P.a.
• El Paso Wellness Associates
• El Paso West Emergency Room LLC
• El Paso West Eyecare & Contact Lens Center PC
• El Paso Womens Healthcare Center, P.a.

• 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 Jan 18, 2013; 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.