DR. VICTORIA A. VICKERS (NPI# 1164512208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512208 |
| Entity Type | Individual |
| Full Name | DR. VICTORIA A. VICKERS |
| Credential | DDS |
| Practice Address |
7400 Blanco Rd. Ste. #100 Masters Dental Group San Antonio TX 78216 |
| Mailing Address |
Po Box 40397 San Antonio TX 78229-3700 |
| Practice Telephone | 2103494424 |
| Practice Fax Number | 2103408156 |
| Mailing Telephone | 2105676405 |
| Mailing Fax Number | 2105672844 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15678 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168364101 | 05 | |
| TX | MEDICAID | 168364102 | 01 |
| BLUE CROSS BLUE SHIELD | 88D990 | 01 |
| Street Address |
7400 BLANCO RD. STE. #100 MASTERS DENTAL GROUP |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555780 | Tpc Dental Care PC | Dentist | 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 | 2020-10-09 |
| 1144831629 | Eduardo Marmelstein Lima | Dentist | 7072 Bandera Rd, San Antonio, TX 78238-1201 | 2020-08-10 |
| 1255954525 | Wecare Family Dentistry Cosmetic & Dental Center Pllc. | Dentist | 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 | 2020-05-21 |
| 1255951802 | Smilegivers Professional Corporation | Dentist | 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 | 2020-04-23 |
| 1114555687 | Yvette Alexis Martinez | Dentist | 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 | 2020-03-31 |
| 1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
| 1235761008 | Estrella and Rodrigo Dds Pllc | Dentist | 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 | 2020-02-10 |
| 1043854995 | Sa Smiles, Pllc | Dentist | 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 | 2019-11-04 |
| 1740839828 | Hunter Ryan Acord | Dentist | 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 | 2019-09-10 |
| 1922653518 | Potranco Dentistry, PC | Dentist | 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 | 2019-08-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.