Active NPI
Joy Yvonne Cleveland, DMD
- Pediatric Dentistry
- El Paso, TX
National Provider Identifier
1972854438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 28061
- Practice address
- 11965 Pellicano Dr
El Paso, TX 79936-6829 - Phone
- (915) 855-2337
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 28061 | TX | Primary |
Addresses
Primary practice location
11965 Pellicano Dr
El Paso, TX 79936-6829
Mailing address
11965 Pellicano Dr
El Paso, TX 79936-6829
Phone (915) 855-2337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO NOT HAVE A NUMBER | Other | TX | I DO NOT HAVE A NUMBER. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28061 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1972854438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11965 PELLICANO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366829",
"telephone_number": "915-855-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11965 PELLICANO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366829",
"telephone_number": "915-855-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "JOY",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "28061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I DO NOT HAVE A NUMBER.",
"identifier": "DO NOT HAVE A NUMBER",
"state": "TX"
}
],
"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 Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.