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Active NPI 1265519805 Individual Practitioner Male Practitioner

Dr. Carlos Eduardo De La Pena , DDS, PC

Dentist - General Practice • Eagle Pass, TX

Professional Overview & Biography Verified Profile Summary

Dr. Carlos De La Pena, DDS, PC is a registered healthcare professional specializing in Dentist - General Practice in Eagle Pass, TX. Practice services are available at 2230 N VETERANS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2230 N Veterans Blvd
Suite 200

Eagle Pass, TX 788526619

Telephone 8307730707
Fax 8307574550
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eagle Pass, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Eagle Pass, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX D18633

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
009317101 (TX)
Commercial Insurance / Payer ID Tax Id #
742787735 (TX)
Commercial Insurance / Payer ID Dental Liceince
D18633 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2230 N VETERANS BLVD, SUITE 200, EAGLE PASS, TX 788526619 (Tel: 8307730707)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 618, 2230 VETERANS BLVD STE 200, EAGLE PASS, TX 788530618 (Tel: 8307730707)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CARLOS DE LA PENA, D.D.S., P.C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D18633 in TX)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265519805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 618, 2230 Veterans Blvd Ste 200

Eagle Pass, TX 788530618

Phone: 8307730707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.