Klarissa Dominique Flores

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40495 Issued in TX

Practice address

5000 Doniphan Dr Ste 101
El Paso, TX 79932-1603

Phone

(915) 285-0615

NPI assigned

Mar 21, 2023

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 5000 Doniphan PLLC

  dba West El Paso Dentist

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1669167128
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1932801818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN DR STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321603",
            "telephone_number": "915-285-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN DR STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321603",
            "telephone_number": "915-285-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KLARISSA",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40495",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Flores
• Josie Elena Flores, PTA
• Julia Adriana Flores, LMT
• Karina Lorely Flores, RN
• Kiana Flores
• Ladonna Yvonne Flores, RN
• Linda Flores
• Maria I Flores, LPC
• Marianna Teresa Flores, PMHNP-BC
• Mark E Flores, RPH

• 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 Jun 27, 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.