Individual provider Active NPI

Alyssa Milenna Ortiz Rodriguez, RDA

  • Dental Assistant
  • El Paso, TX
National Provider Identifier
1982387452
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
133031 Issued in TX
Practice address
7480 Remcon Cir
El Paso, TX 79912-3508
Phone
(915) 259-8026
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 133031 TX Primary

Addresses

Primary practice location

7480 Remcon Cir
El Paso, TX 79912-3508

Mailing address

11944 Mesquite Bush Dr
El Paso, TX 79934-3319
Phone (915) 701-5307

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
133031TXMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1982387452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11944 MESQUITE BUSH DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343319",
            "telephone_number": "915-701-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123508",
            "telephone_number": "915-259-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RODRIGUEZ",
        "first_name": "ALYSSA",
        "middle_name": "MILENNA",
        "name_prefix": "Miss",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "TX",
            "license": "133031",
            "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 Aug 10, 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.