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STAR MOUNTAIN FAMILY DENTAL PLLC
NPI 1164074829
Dentist - General Practice in El Paso, TX

Active since July 12, 2019
11601 PELLICANO DR, EL PASO, TX 79936(915) 594-4048 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Jul 12, 2019 (2 updates tracked since 2019).

About Star Mountain Family Dental Pllc NPPES

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

STAR MOUNTAIN FAMILY DENTAL PLLC (NPI 1164074829) is a healthcare organization registered as a general practice in El Paso, Texas and active in the NPI registry since July 2019. The organization lists Jacquelyn Luera, Owner, as its authorized official.

NPPES Registry Identity

NPI1164074829
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTAR MOUNTAIN FAMILY DENTAL PLLC
Location Address11601 PELLICANO DREl Paso, TX 79936-6279
Mailing Address11601 Pellicano DrEl Paso, TX 79936-6279 · (915) 594-4048
Phone(915) 594-4048
Organization SubpartNo
Authorized OfficialJacquelyn LueraOwner · (915) 594-4048
Enumeration DateJuly 12, 2019
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1164074829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
11601 PELLICANO DR, El Paso, TX 79936
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

RODOLFO ARJON
Durable Medical Equipment & Medical Supplies
11601 PELLICANO DR, SUITE B3
EL PASO, TX 79936
El Paso County (915) 595-8998
R MEDICAL OUTREACH AND ASSOCIATES LLC,
Durable Medical Equipment & Medical Supplies
11601 PELLICANO DR, B-3
EL PASO, TX 79936
El Paso County (915) 595-8998
SARAH PEREZ
Occupational Therapist (Pediatrics)
11601 PELLICANO DR, STE A-16
EL PASO, TX 79936
El Paso County (915) 603-5019
ERNIE RUIZ
Durable Medical Equipment & Medical Supplies
11601 PELLICANO DR, C-13
EL PASO, TX 79936
El Paso County (915) 820-5372
VICTOR GOMEZ VANVAL ENTERPRISE
Durable Medical Equipment & Medical Supplies
11601 PELLICANO DR, SUITE B8
EL PASO, TX 79936
El Paso County (915) 593-3556
EDGAR GARCIA NP
Nurse Practitioner (Gerontology)
11601 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 213-0900
PANORAMA HEALTH SERVICES
Home Health
11601 PELLICANO DR, B18
EL PASO, TX 79936
El Paso County (915) 229-6747
PAUL RAMSEY
Licensed Vocational Nurse
11601 PELLICANO DR, B18
EL PASO, TX 79936
El Paso County (915) 229-6747

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 Star Mountain Family Dental PLLC's NPI number?

The NPI number for Star Mountain Family Dental PLLC is 1164074829. It was assigned to this organization in the NPPES registry on July 12, 2019.

Where is Star Mountain Family Dental PLLC located?

Star Mountain Family Dental PLLC is located at 11601 Pellicano Dr, El Paso, TX 79936. The listed phone number is (915) 594-4048.

What is Star Mountain Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Star Mountain Family Dental PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Star Mountain Family Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Star Mountain Family Dental PLLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.