P Praxis·MD
● Active Type 1 · Individual

Carson Van Etta, DMD

Dentist·Fort Bliss, TX· NPI 1154085470 · Enumerated 2021 · 4 years on NPI
Van Etta is 1 of 17 dentist providers in Fort Bliss and 1 of 9237 in Texas.
NPI age
4 years
Enumerated 2021-10-22
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
4 years
↓ 8 yr below median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Practice location
18511 Highlander Medics St
Fort Bliss, TX 79918
📞 3375312603
Mailing address
14693 Oldenberg Ct
El Paso, TX 799381013
📞 9043357597

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #37875 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 322 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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