1215046412 NPI number — DR. XOCHITL DUARTE ANDERTON DDS

Table of content: (NPI 1922486661)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215046412 NPI number — DR. XOCHITL DUARTE ANDERTON DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDERTON
Provider First Name:
XOCHITL
Provider Middle Name:
DUARTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAMOS
Provider Other First Name:
XOCHITL
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1215046412
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9105 LOLA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LUBBOCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-495-3600
Provider Business Mailing Address Fax Number:
806-303-5003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1002 N. AVENUE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POST
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-495-3600
Provider Business Practice Location Address Fax Number:
806-303-5003
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  21263 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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