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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARSON VAN ETTA DMD
NPI 1154085470
Dentist in El Paso, TX

Active since October 22, 2021
10175 GATEWAY BLVD W STE 304, EL PASO, TX 79925(915) 504-6880 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Oct 22, 2021 (2 updates tracked since 2021).

About Carson Van Etta Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARSON VAN ETTA DMD (NPI 1154085470) is an individual dentist in El Paso, Texas, licensed in Texas (37875) and active in the NPI registry since October 2021. He maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1154085470
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCARSON VAN ETTACredential: DMD
Location Address10175 GATEWAY BLVD W STE 304El Paso, TX 79925-2203
Mailing Address10175 Gateway Blvd W Ste 304El Paso, TX 79925-2203 · (904) 335-7597
Phone(915) 504-6880
Sole ProprietorNo
Enumeration DateOctober 22, 2021
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1154085470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 37875
Definition
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.
10175 GATEWAY BLVD W STE 304, El Paso, TX 79925
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Secondary Practice Location 1

Location 11770 Cimarron Rialto PlEl Paso, TX 79912 · Phone (915) 833-2969

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN HARDIE WHEELOCK DDS
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
ARSHAD KALEEM MD, DMD
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
DR. TONY JAEWON KIM DMD
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
DAVID MICHAEL YATES DMD, MD
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
DR. NATASHA FURCHTGOTT DDS
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
CHRISTINA LOUISE GORY DDS
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
SAMUEL CLAROT DDS MD
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880
ADRIEN LANCELOT CHARLES-MARCEL DDS, MD
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
El Paso County (915) 504-6880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carson Van Etta's NPI number?

The NPI number for Carson Van Etta is 1154085470. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Carson Van Etta located?

Carson Van Etta practices at 10175 Gateway Blvd W Ste 304, El Paso, TX 79925. The listed phone number is (915) 504-6880.

What is Carson Van Etta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Carson Van Etta was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.