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12900 EASTLAKE PLLC
NPI 1376314096
Dentist - General Practice in El Paso, TX

Active since January 11, 2024
12900 EASTLAKE BLVD, EL PASO, TX 79928(915) 219-4713 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 12900 Eastlake Pllc NPPES

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

12900 EASTLAKE PLLC (NPI 1376314096) is a healthcare organization registered as a general practice in El Paso, Texas and active in the NPI registry since January 2024. The organization lists Casie Garcia, Billing Operation, as its authorized official.

NPPES Registry Identity

NPI1376314096
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name12900 EASTLAKE PLLC
Location Address12900 EASTLAKE BLVDEl Paso, TX 79928
Mailing Address10510 Montwood Dr Ste BEl Paso, TX 79935-2717 · (915) 219-4713
Phone(915) 219-4713
Organization SubpartNo
Authorized OfficialCasie GarciaBilling Operation · (915) 219-4713
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1376314096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
12900 EASTLAKE BLVD, El Paso, TX 79928
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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

Other Providers at the Same Location NPPES

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

MIGUEL RANGEL DDS
Dentist (General Practice)
12900 EASTLAKE BLVD, SUITE 111
EL PASO, TX 79928
El Paso County (915) 213-0332

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 12900 Eastlake PLLC's NPI number?

The NPI number for 12900 Eastlake PLLC is 1376314096. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is 12900 Eastlake PLLC located?

12900 Eastlake PLLC is located at 12900 Eastlake Blvd, El Paso, TX 79928. The listed phone number is (915) 219-4713.

What is 12900 Eastlake PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 12900 Eastlake PLLC was last updated on January 11, 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.