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ROXANA HURTADO DMD
NPI 1659920759
Dentist - General Practice in El Paso, TX

Active since September 11, 2019PECOS Enrolled
4875 MAXWELL AVE, EL PASO, TX 79904(915) 465-0810 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, Apr 24, 2020, Sep 13, 2019 (3 updates tracked since 2019).

About Roxana Hurtado Dmd NPPES

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

ROXANA HURTADO DMD (NPI 1659920759) is an individual general practice provider in El Paso, Texas, licensed in Texas (35713) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659920759
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameROXANA HURTADOCredential: DMD
Location Address4875 MAXWELL AVEEl Paso, TX 79904-1559
Mailing Address4875 Maxwell AveEl Paso, TX 79904-1559
Phone(915) 465-0810
Sole ProprietorNo
Enumeration DateSeptember 11, 2019
Last NPPES UpdateMay 17, 20223 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1659920759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 35713
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.
4875 MAXWELL AVE, El Paso, TX 79904
Open in Google Maps ↗

Other Identifiers 1

Other35713TX · Tx License

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxana Hurtado Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

MS. LISSETTE ANGELICA AVILA LCSW
Social Worker (Clinical)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 533-7057
ROBERTO LEONEL AYALA MD
Psychiatry & Neurology (Psychiatry)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 465-0810
DR. MRUDULA RAPARLA
Pharmacist
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 745-1598
BEATRIZ AMPARO DERAS FUENTES MD
Psychiatry & Neurology (Psychiatry)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 465-1191
MR. FRANCISCO DANIEL SAGREDO LCSW
Social Worker (Clinical)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 533-7057
AUDREE JEAN REYNOLDS FNP-C
Nurse Practitioner (Family)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 533-7057
ELISEO ALBERTO QUINTANILLA MD
Psychiatry & Neurology (Psychiatry)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 465-0810
PRISCILLA YANEZ FNP-C
Nurse Practitioner (Family)
4875 MAXWELL AVE
EL PASO, TX 79904
El Paso County (915) 533-7057

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 Roxana Hurtado's NPI number?

The NPI number for Roxana Hurtado is 1659920759. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Roxana Hurtado located?

Roxana Hurtado practices at 4875 Maxwell Ave, El Paso, TX 79904. The listed phone number is (915) 465-0810.

What is Roxana Hurtado's specialty?

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

Is Roxana Hurtado enrolled in Medicare?

Yes. Roxana Hurtado is registered in the Medicare PECOS enrollment system.

What insurance does Roxana Hurtado 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 17 other insurers list Roxana Hurtado 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 Roxana Hurtado was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.