NORTHEAST CHILDREN'S DENTISTRY, INC (NPI# 1245252238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245252238 |
| Entity Type | Organization |
| Organization Name | NORTHEAST CHILDREN'S DENTISTRY, INC |
| Practice Address |
8606 Village Dr Ste. B San Antonio TX 78217-5506 |
| Practice Telephone | 2106546882 |
| Practice Fax Number | 2106540036 |
| Mailing Telephone | 2106546882 |
| Mailing Fax Number | 2106540036 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | TRACEY HAY (PRACTICE COORDINATOR) |
| Authorized Official Telephone | 2106546882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11694 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00K78V | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997126 | Northeast Children's Dentistry, Inc | Dentist | 315 N San Saba Ste 202, San Antonio, TX 78207-3193 | 2019-08-16 |
| 1033765094 | Northeast Children's Dentistry, Inc | Dentist | 21727 Ih 10 W Ste 203, San Antonio, TX 78257-2107 | 2019-08-15 |
| 1689220451 | Northeast Children's Dentistry, Inc | Dentist | 4358 Thousand Oaks Dr, San Antonio, TX 78217-2102 | 2019-08-16 |
| 1013563972 | Northeast Children's Dentistry, Inc | Dentist | 5000 Schertz Pkwy Ste 301, Schertz, TX 78154-1457 | 2019-08-15 |
| Street Address |
8606 VILLAGE DR STE. B |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588090849 | Selina Dina Nanna | Nurse Practitioner | 8606 Village Dr, San Antonio, TX 78217-5506 | 2013-09-18 |
| 1518222041 | Dawn Sauter Dabbs | Nurse Practitioner | 8606 Village Dr, Suite A, San Antonio, TX 78217-5506 | 2012-07-10 |
| 1952698656 | Sheridan Davies Bunch | Dentist | 8606 Village Dr, Suite B, San Antonio, TX 78217-5506 | 2011-07-01 |
| 1780994137 | Daniel E. Ornes | Community/Behavioral Health | 8606 Village Dr, San Antonio, TX 78217-5506 | 2010-10-19 |
| 1053594069 | Laura L. Lindner | Pediatrics | 8606 Village Dr, Suite A, San Antonio, TX 78217-5506 | 2007-12-12 |
| 1336225523 | Rene M Ornes | Pediatrics | 8606 Village Dr, Ste A, San Antonio, TX 78217-5416 | 2006-10-31 |
| 1740366939 | William P Groos | Pediatrics | 8606 Village Dr, Ste A, San Antonio, TX 78217-5416 | 2006-10-31 |
| 1902994080 | Northeast Pediatric Assoc Pa | Pediatrics | 8606 Village Dr, Suite A, San Antonio, TX 78217-5506 | 2006-10-11 |
| 1154333631 | Jennifer Marie Ochoa | Dentist | 8606 Village Dr, Ste. B, San Antonio, TX 78217-5506 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1407478027 | Rittiman Pediatric Dentistry, Pllc | Dentist | 5723 N Foster Rd, San Antonio, TX 78244-1204 | 2020-05-18 |
| 1669011235 | Kusom Pediatric Dental South Pllc | Dentist | 1134 Culebra Rd Ste 109, San Antonio, TX 78201-6080 | 2019-12-31 |
| 1114563590 | Zaida Liliana Nieves Lopez | Dentist | 226 Serna Park, San Antonio, TX 78218-2035 | 2019-11-21 |
| 1356997126 | Northeast Children's Dentistry, Inc | Dentist | 315 N San Saba Ste 202, San Antonio, TX 78207-3193 | 2019-08-16 |
| 1033765094 | Northeast Children's Dentistry, Inc | Dentist | 21727 Ih 10 W Ste 203, San Antonio, TX 78257-2107 | 2019-08-15 |
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1972068401 | Aventura Dental | Dentist | 11915 Perrin Beitel Rd, San Antonio, TX 78217-2127 | 2019-02-08 |
| 1427513316 | San Antonio Pediatric Dentistry, Pllc | Dentist | 17026 Bulverde Rd Ste 102, San Antonio, TX 78247-4700 | 2019-02-05 |
| 1104394816 | Cassandra Elkins Dds, Pllc | Dentist | 9543 Huebner Rd, San Antonio, TX 78240-1510 | 2018-11-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
Please comment or provide details below to improve the information on NORTHEAST CHILDREN'S DENTISTRY, INC.
| 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.