Unknown Individual – General Practice Dentistry, NPI 1730161019

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in General Practice Dentistry. They hold a License No. 012791 (TX). The NPI Number for Unknown Individual is 1730161019

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730161019
Phone
(915) 772-5200
Address
5630 GATEWAY EAST
Deactivation Date
9 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5630, Gateway Boulevard East, El Paso, El Paso County, Texas, 79905, United States

    SUITE 4

    EL PASO, TX 799051748

    Phone: (915) 772-5200

    Fax: (915) 772-8907

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 79905)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1730161019; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see El Paso, Texas on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1730161019. Always confirm identity and privileges with the practice and licensing boards.

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