SMILE CENTER FOR KIDS I PLLC (NPI# 1689072233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689072233 |
| Entity Type | Organization |
| Organization Name | SMILE CENTER FOR KIDS I PLLC |
| Practice Address |
1050 Sundland Park Drive Suite 200 B El Paso TX 79922 |
| Mailing Address |
12801 Edgemere Blvd # B Suite 112 El Paso TX 79938-9500 |
| Practice Telephone | 9154936310 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | ROBERT WILSON (PRESIDENT) |
| Authorized Official Telephone | 9154936310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
24420 | TX | Ambulatory Health Care Facilities |
| Street Address |
1050 SUNDLAND PARK DRIVE SUITE 200 B |
| City | EL PASO |
| State | TX |
| Zip Code | 79922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1164895462 | Jana Lynn Mccallister | Nurse Practitioner | 3801c Constitution, Suite 100, El Paso, TX 79922 | 2015-11-09 |
| 1487098307 | Griselda Murguia | Speech-Language Pathologist | 716 Wakefield Ct., El Paso, TX 79922 | 2013-04-22 |
| 1013112549 | Mentis Neuro El Paso, LLC | Residential Treatment Facility, Physical Disabilities | 4360 Doniphan Drive, El Paso, TX 79922 | 2007-06-15 |
| 1821135997 | Alfredo Cedillo | Surgery | 769 Woodland Ave, El Paso, TX 79922 | 2007-01-30 |
| 1952478232 | Luis A. Todd | Pediatrics | 4371 Boy Scout Ln, El Paso, TX 79922 | 2006-11-29 |
| 1023261856 | Jesus Fernando Escarzaga | Radiology Practitioner Assistant | 4930 Osborne, Suite H, El Paso, TX 79922 | 2008-10-24 |
| 1922588052 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Osborne Dr Ste 100, El Paso, TX 79922-1035 | 2018-08-17 |
| 1194781864 | Guillermina Solis | Nurse Practitioner | 4930 Osborne Dr, Suitea, El Paso, TX 79922-1041 | 2006-04-21 |
| Find all providers in zip 79922 | ||||
| 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 |
| 1407413594 | Pellicano Family Dentistry Pllc | Clinic/Center | 11615 Pellicano Dr # 100, El Paso, TX 79936-6242 | 2019-05-23 |
| 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 |
| 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.