Individual provider Active NPI

Mauricio Terres Jauregui, DMD

  • Dentist
  • El Paso, TX
National Provider Identifier
1972224525
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38837 Issued in TX
Practice address
1700 N Zaragoza Rd Ste 133
El Paso, TX 79936-7965
Phone
(915) 856-8888
NPI assigned
Sep 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38837 TX Primary

Addresses

Primary practice location

1700 N Zaragoza Rd Ste 133
El Paso, TX 79936-7965

Mailing address

11941 Paseo del Rey Dr
El Paso, TX 79936-3787
Phone (915) 545-3787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38837TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1972224525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 PASEO DEL REY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363787",
            "telephone_number": "915-545-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ZARAGOZA RD STE 133",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367965",
            "telephone_number": "915-856-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRES JAUREGUI",
        "first_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38837",
            "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 Oct 2, 2023; 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.