✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (122300000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

99 BRACES (NPI #1194164392)

Dentist • EL PASO, TX • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1194164392
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
122300000X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
9411 ALAMEDA AVE, STE P, EL PASO, TX, 79907-5640
✓ 9-Digit EDI 837 ZIP+4 (79907-5640)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194164392 (99 BRACES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1194164392 (NPI-2 Organization / Facility)
Provider / Legal Name99 BRACES
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 122300000X (Dentist)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address9411 ALAMEDA AVE, STE P, EL PASO, TX, 79907-5640
Practice Telephone / FaxTel: (915) 858-6868
Administrative Mailing Address9411 ALAMEDA AVE, EL PASO, TX, 79907-5640
Enumeration & Last SyncEnumerated: 2013-06-20 | CMS Record Updated: 2013-06-20
Authorized OfficialJEFFREY ERICKSON (DMD)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9411 ALAMEDA AVE, STE P, EL PASO, TX, 79907-5640

🗺️ Open in Google Maps 🏥 More Providers in EL PASO

Plain-English Taxonomy & CMS Crosswalk (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (99 BRACES)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
122300000X — Dentist
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: TX | License: 24362 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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