DESERT ELITE FAMILY DENTAL PLLC (NPI# 1629570023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570023 |
| Entity Type | Organization |
| Organization Name | DESERT ELITE FAMILY DENTAL PLLC |
| Other Organization Name | ELITE DENTAL, LLC |
| Practice Address |
1300 El Paseo Rd Ste N Las Cruces NM 88001-6039 |
| Mailing Address |
1531 George Dieter Dr Apt 1004 El Paso TX 79936-7673 |
| Practice Telephone | 3232056294 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. MAZIAR MINOOFAR (PRESIDENT/DMD) |
| Authorized Official Telephone | 3232056294 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Desert Dental | Doing Business As Name - Organization |
| Elite Dental, LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7049 S Desert Blvd Ste 115, El Paso, TX 798358625 | 3232056294 |
| Street Address |
1300 EL PASEO RD STE N |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012241 | Lc Sleep Solutions LLC | Dentist | 2001 E Lohman Ave Ste 122, Las Cruces, NM 88001-3195 | 2020-01-10 |
| 1306230727 | Rohini Bansal | Dentist | 1160 El Paseo Rd, Las Cruces, NM 88001-6045 | 2015-03-24 |
| 1366851495 | Kye Grant Kinzer | Dentist | 5135 Acacia Rd, Las Cruces, NM 88011-7623 | 2014-08-02 |
| 1235550138 | Mesilla Valley Children's Dentistry | Dentist | 3835 E. Lohman Ave., Las Cruces, NM 88011 | 2013-12-18 |
| 1396174116 | University Family Dental PC | Dentist | 705 E University Ave Ste B, Las Cruces, NM 88001-5637 | 2013-11-02 |
| 1700131190 | Wael Borham | Dentist | 608 S Alameda Blvd, Las Cruces, NM 88005-2817 | 2012-07-21 |
| 1396033494 | Jared S. Wallis | Dentist | 2540 N Telshor Blvd Ste E, Las Cruces, NM 88011-8201 | 2011-07-11 |
| 1114216389 | Las Cruces Dental Solutions | Dentist | 2001 E Lohman Ave Ste 121, Las Cruces, NM 88001-3195 | 2011-03-28 |
| 1154624401 | Pediatric Dental Specialist of New Mexico LLC | Dentist | 2450 South Telshor, Memorial Medical Hospital, Las Cruces, NM 88011-7594 | 2010-12-08 |
| 1649460445 | Ramon M Ortiz | Dentist | 3045 E University Ave Ste B, Las Cruces, NM 88011-9147 | 2007-07-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.