NPIMap

Organization Active NPI

John M. Purdy DDS Inc.

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1992924765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11288 Issued in TX
Legal business name
JOHN M. PURDY DDS INC.
Practice address
1810 McRae Blvd
Suite B
El Paso, TX 79925-6706
Phone
(915) 593-1833
Fax
(915) 592-8441
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Martin Purdy, DDSNPI 1114146941
Title
President
Phone
(915) 593-1833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11288 TX Primary

Addresses

Primary practice location

1810 McRae Blvd
Suite B
El Paso, TX 79925-6706

Mailing address

1810 McRae Blvd
Suite B
El Paso, TX 79925-6706
Phone (915) 593-1833

National Provider Directory

National Provider Directory

Locations

1810 McRae Blvd
#B
El Paso, TX 79925
Phone (915) 593-1833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992924765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MCRAE BLVD",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256706",
            "telephone_number": "915-593-1833",
            "fax_number": "915-592-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MCRAE BLVD",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256706",
            "telephone_number": "915-593-1833",
            "fax_number": "915-592-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. PURDY DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-593-1833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11288",
            "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 22, 2020; 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.