SAN ANTONIO PEDIATRIC DENTISTRY, PLLC (NPI# 1427513316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427513316 |
Entity Type | Organization |
Organization Name | SAN ANTONIO PEDIATRIC DENTISTRY, PLLC |
Other Organization Name | SAN ANTONIO PEDIATRIC DENTISTRY AND ORTHODONTICS |
Practice Address |
17026 Bulverde Rd Ste 102 San Antonio TX 78247-4700 |
Mailing Address |
1320 Wonder World Dr Ste 103 San Marcos TX 78666-7558 |
Practice Telephone | 2109448111 |
Mailing Telephone | 2109448111 |
Enumeration Date | 2019-02-05 |
Last Update Date | 2020-07-24 |
Authorized Official Name | CLAUDIA RAINS (OFFICE MANAGER) |
Authorized Official Telephone | 5123535500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Other Name | Type Code |
---|---|
San Antonio Pediatric Dentistry and Orthodontics | Doing Business As Name - Organization |
San Antonio Pediatric Dentistry, PLLC | Doing Business As Name - Organization |
Street Address |
17026 BULVERDE RD STE 102 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78247-4700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
Find all providers in zip 78247 |
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 |
1104394816 | Cassandra Elkins Dds, Pllc | Dentist | 9543 Huebner Rd, San Antonio, TX 78240-1510 | 2018-11-12 |
1558849893 | Purple Iris Dental Association | Dentist | 18010 Bulverde Rd Ste 112, San Antonio, TX 78259-3346 | 2018-07-30 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78247 |
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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.