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WEST TEXAS MAXILLOFACIAL SURGERY PA
NPI 1700178555
Oral & Maxillofacial Surgery in El Paso, TX

Active since May 12, 2011
10175 GATEWAY BLVD W, SUITE304, EL PASO, TX 79925(915) 504-6880(915) 599-8579 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 1, 2024, Jun 11, 2024 (2 updates tracked since 2024).

About West Texas Maxillofacial Surgery Pa NPPES

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

WEST TEXAS MAXILLOFACIAL SURGERY PA (NPI 1700178555), doing business as High Desert Oral & Facial Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in El Paso, Texas and active in the NPI registry since May 2011. The organization lists Vernon P Burke, Director, as its authorized official.

NPPES Registry Identity

NPI1700178555
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameWEST TEXAS MAXILLOFACIAL SURGERY PA
Location Address10175 GATEWAY BLVD W, SUITE304El Paso, TX 79925-7618
Mailing Address10175 Gateway Blvd W, Suite 304El Paso, TX 79925-7618 · (915) 504-6880 · Fax (915) 599-8579
Phone(915) 504-6880
Fax(915) 599-8579
Organization SubpartYesParent: West Texas Maxillofacial Surgery, Pa
Authorized OfficialVernon P BurkeDirector · (210) 630-9909
Enumeration DateMay 12, 2011
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1700178555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 25153
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedSurgeryTaxonomy 208600000X
10175 GATEWAY BLVD W, El Paso, TX 79925
Open in Google Maps ↗

Other Names 1

Doing Business AsHigh Desert Oral & Facial Surgery

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Texas Maxillofacial Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to West Texas Maxillofacial Surgery PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Hans Brockhoff, DDS
Oral Surgery
NPI 1679747570
10175 GATEWAY BLVD W SUITE 304
El Paso, TX 79925
(915) 504-6880
✔ PECOS✔ Accepts MedicareSame address
Vernon Burke, DMD, MD
Maxillofacial Surgery
NPI 1447430178
10175 GATEWAY BLVD W SUITE 304
El Paso, TX 79925
(915) 504-6880
✔ PECOS✔ Accepts MedicareSame address
Natasha Furchtgott, DDS
Oral Surgery
NPI 1669613485
10175 GATEWAY BLVD W STE 304
El Paso, TX 79925
(915) 504-6880
✔ PECOS✔ Accepts MedicareSame address
Reo Pugao, DDS, MD
Maxillofacial Surgery
NPI 1063689065
10175 GATEWAY BLVD W STE 304
El Paso, TX 79925
(915) 504-6880
✔ PECOS✔ Accepts MedicareSame address
David Yates, DMD, MD
Oral Surgery
NPI 1275700742
10175 GATEWAY BLVD W STE 304
El Paso, TX 79925
(915) 504-6880
✔ PECOS✔ Accepts MedicareSame address
Ryan Smart, DMD
Maxillofacial Surgery
NPI 1386849446
2585 23RD AVE S UNIT A
Fargo, ND 58103
(701) 478-4404
✔ PECOS1,157 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 West Texas Maxillofacial Surgery PA's NPI number?

The NPI number for West Texas Maxillofacial Surgery PA is 1700178555. It was assigned to this organization in the NPPES registry on May 12, 2011. The provider is doing business as High Desert Oral & Facial Surgery.

Where is West Texas Maxillofacial Surgery PA located?

West Texas Maxillofacial Surgery PA is located at 10175 Gateway Blvd W Suite304, El Paso, TX 79925. The listed phone number is (915) 504-6880.

What is West Texas Maxillofacial Surgery PA's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is West Texas Maxillofacial Surgery PA enrolled in Medicare?

Yes. West Texas Maxillofacial Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Texas Maxillofacial Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to West Texas Maxillofacial Surgery PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (3) and Oral Surgery (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does West Texas Maxillofacial Surgery PA 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 West Texas Maxillofacial Surgery PA 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 West Texas Maxillofacial Surgery PA was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.