Carson Van Etta, DMD

Dentist · El Paso, TX

Individual Active NPI

NPI number 1154085470

Practice location

10175 Gateway Blvd W Ste 304
El Paso, TX 79925-2203
Phone
(915) 504-6880

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NPI record

NPI
1154085470
Entity type
Individual (Type 1)
Enumeration date
October 22, 2021
Last updated
August 25, 2026
Certified
August 25, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 37875 TX

Other practice locations (1)

  • 1770 Cimarron Rialto Pl, El Paso, TX 79912 · (915) 833-2969

About Dr. Van Etta

Carson Van Etta, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-2203. The NPI number 1154085470 was assigned on October 22, 2021 and the record was last updated on August 25, 2026.

Dr. Van Etta lists a license in the registry: #37875 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carson Van Etta, DMD?

The NPI number is 1154085470.

What is the phone number of Dr. Van Etta?

The phone number listed for the practice location is (915) 504-6880.

Where is Dr. Van Etta located?

10175 Gateway Blvd W Ste 304, El Paso, TX 79925-2203.

What is the taxonomy code for Dr. Van Etta?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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