DR. EDGAR L PERALES (NPI# 1700395498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700395498 |
| Entity Type | Individual |
| Full Name | DR. EDGAR L PERALES |
| Credential | DDS |
| Practice Address |
1800 Mcrae Blvd El Paso TX 79925-6706 |
| Practice Telephone | (915) 592-4168 |
| Mailing Telephone | 9155924168 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
33524 | TX | Dental Providers |
| Street Address |
1800 MCRAE BLVD |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447210083 | Courtney Mei-young Brooks | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2006-03-27 |
| 1518229376 | Charlene Nicole Walker | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2012-06-07 |
| 1386946465 | Yanitza Feliciano | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2010-11-23 |
| 1306155353 | Holguin & Briggs Pa | Dentist | 1800 Mcrae Blvd, Ste B, El Paso, TX 79925-6706 | 2010-09-24 |
| 1881841153 | Latoya Monek Delaughter | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2008-08-19 |
| 1982726618 | Walter Jay Fosbury | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2007-04-04 |
| 1508908559 | Karin Lisbeth Calderon | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2007-02-13 |
| 1699826123 | Martha Mejia-maidl | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2007-01-12 |
| 1528142072 | Lloyd H. Briggs | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2006-10-24 |
| 1871675405 | Briggs & Fosbury, P.a. | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659710259 | Edith Osorio | Dentist | 1800 Mcrae Boulevard, El Paso, TEXAS 79925 | 2013-06-18 |
| 1619106960 | Lizbeth Holguin | Dentist | 1800 Mc Rae Blvd, El Paso, TX 79925-6706 | 2009-07-08 |
| 1396990867 | Maureen Dinah Poux | Dentist | 11165 La Quinta Pl, El Paso, TX 79936-5221 | 2008-11-24 |
| 1417027251 | Stevenson Dental Clinic for Children | Dentist | 11165 La Quinta Place, El Paso, TX 79936 | 2006-11-09 |
| 1548200868 | Rodney David Mollere | Dentist | 7005 Westwind Drive, El Paso, TX 79912-1729 | 2006-06-07 |
| 1831151505 | Yadah Sringam | Dentist | 11965 Pellicano Dr, El Paso, TX 79936-6829 | 2006-04-06 |
| 1447210083 | Courtney Mei-young Brooks | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2006-03-27 |
| 1396139390 | Stevensons Dental Ark Pllc | Dentist | 11165 La Quinta Pl, El Paso, TX 79936-5221 | 2015-03-27 |
| 1356767701 | Cheng Yen Dmd | Dentist | 1475 George Dieter Dr Ste L1, El Paso, TX 79936-7634 | 2014-03-10 |
| 1972854438 | Joy Yvonne Cleveland | Dentist | 11965 Pellicano Dr, El Paso, TX 79936-6829 | 2012-09-25 |
| 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.