PELLICANO FAMILY DENTISTRY PLLC (NPI# 1407413594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407413594 |
Entity Type | Organization |
Organization Name | PELLICANO FAMILY DENTISTRY PLLC |
Practice Address |
11615 Pellicano Dr # 100 El Paso TX 79936-6242 |
Practice Telephone | 9154448006 |
Mailing Telephone | 9154448006 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-05-23 |
Authorized Official Name | LUPITA MENDOZA (OFFICE MANAGER) |
Authorized Official Telephone | 2146166148 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
11615 PELLICANO DR # 100 |
City | EL PASO |
State | TX |
Zip Code | 79936-6242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
Find all providers in zip 79936 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
1295366722 | Sol Smiles | Clinic/Center | 5500 Doniphan Dr Ste G, El Paso, TX 79932-1455 | 2020-02-03 |
1366080905 | Omni Endodontics, Pllc | Clinic/Center | 1397 George Dieter Dr Ste B, El Paso, TX 79936-7681 | 2019-12-13 |
1588216949 | Kasallis Westside Dental Pllc | Clinic/Center | 824 E Redd Rd Ste 1-b, El Paso, TX 79912-7262 | 2019-07-15 |
1518438878 | Peak Family Dental, PC | Clinic/Center | 7470 Cimarron Market, Bldg 6 Ste 300, El Paso, TX 79911 | 2018-12-16 |
1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
1043734593 | Elite Dental Pllc | Clinic/Center | 3060 Joe Battle Blvd, El Paso, TX 79938-2621 | 2017-07-26 |
1821523473 | Alameda Dental Care, Pllc | Clinic/Center | 100 S Americas Ave, El Paso, TX 79907-6901 | 2017-04-20 |
1639533748 | Kimball Care | Clinic/Center | 520 Gomez Rd, El Paso, TX 79932-4202 | 2016-04-06 |
1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
Find all providers in EL PASO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.