Presidio County Medical Clinic – Dental Clinic/Center, NPI 1093890634
Dental Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Presidio County Medical Clinic
1605 N. FT DAVID HWY. STE B.
ALPINE, TX 79830
Phone: (432) 837-4812
Fax: (432) 837-4823
Type: Mailing
North Erma Avenue, Presidio, Presidio County, Texas, 79845, United States
PRESIDIO, TX 79845
Phone: (432) 229-3030
Fax: (432) 229-2500
Type: Location
1605 N FT DAVID HWY
SUITE B
ALPINE, TX 79830
Phone: (432) 837-4812
Fax: (432) 837-4823
Type: Mailing
1501 N ERMA AVE
PRESIDIO, TX 79845
Phone: (432) 229-3030
Fax: (432) 229-2500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (616 days ago).
Enrollment records
2
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080514000116 | O | Federally Qualified Health Center (Fqhc) | TX | TBD |
| O20091110000495 | O | Clinic/Group Practice | TX | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79830)
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