DR. AMANDA CHRISTINE GRIEGO PELLETIER DDS
NPI 1710542196
Dentist - General Practice in El Paso, TX

Active since May 01, 2019Opted out of Medicare · through Nov 28, 2026
1050 SUNLAND PARK DR # B200, EL PASO, TX 79922(915) 213-1200 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, May 8, 2024, Aug 9, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Amanda Christine Griego Pelletier Dds NPPES

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

DR. AMANDA CHRISTINE GRIEGO PELLETIER DDS (NPI 1710542196) is an individual general practice provider in El Paso, Texas, licensed in Texas (35132) and active in the NPI registry since May 2019. She has opted out of Medicare through November 28, 2026.

NPPES Registry Identity

NPI1710542196
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AMANDA CHRISTINE GRIEGO PELLETIERCredential: DDS
Location Address1050 SUNLAND PARK DR # B200El Paso, TX 79922-1326
Mailing Address905 Los Pinos WayEl Paso, TX 79912-1850 · (915) 526-9861
Sole ProprietorNo
Enumeration DateMay 1, 2019
Last NPPES UpdateMay 13, 20244 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
NPI 1710542196 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 · 35132
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.
1050 SUNLAND PARK DR # B200, El Paso, TX 79922

Other Names 1

Other Name (5)Dr. Mandy C Griego Pelletier Dds

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Amanda Christine Griego Pelletier Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 28, 2022 through November 28, 2026.

Opt-Out Effective DateNovember 28, 2022
Opt-Out In Effect ThroughNovember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Amanda Griego Pelletier's NPI number?

The NPI number for Amanda Griego Pelletier is 1710542196. It was assigned to this individual provider in the NPPES registry on May 1, 2019. The provider is also known as Dr. Mandy C Griego Pelletier Dds.

Where is Amanda Griego Pelletier located?

Amanda Griego Pelletier practices at 1050 Sunland Park Dr # B200, El Paso, TX 79922. The listed phone number is (915) 213-1200.

What is Amanda Griego Pelletier's specialty?

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

Is Amanda Griego Pelletier enrolled in Medicare?

No. Amanda Griego Pelletier has opted out of Medicare through November 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amanda Griego Pelletier 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 16 other insurers list Amanda Griego Pelletier 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 Amanda Griego Pelletier was last updated on May 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.