NPIMap

Organization Active NPI

Basic Dental of Mesa, PLLC

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1942509039
Registry record updated Mar 15, 2011
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25432 Issued in TX
Legal business name
BASIC DENTAL OF MESA, PLLC
Practice address
6238 N Mesa St
El Paso, TX 79912-4520
Phone
(940) 220-4983
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Joshua Elliss, DMD
Title
Owner
Phone
(702) 557-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25432 TX Primary

Addresses

Primary practice location

6238 N Mesa St
El Paso, TX 79912-4520

Mailing address

1805 Hinkle Dr Ste 100
Denton, TX 76201-1768
Phone (940) 220-4983

National Provider Directory

National Provider Directory

Locations

1805 Hinkle Dr
#100
Denton, TX 76201

6238 N Mesa St
El Paso, TX 79912
Phone (940) 220-4983

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1942509039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HINKLE DR STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011768",
            "telephone_number": "940-220-4983",
            "fax_number": "940-387-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124520",
            "telephone_number": "940-220-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC DENTAL OF MESA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "ELLISS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-557-6423",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25432",
            "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 Mar 15, 2011; 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.