CELEBRACES SAN PEDRO LLC (NPI# 1558824201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558824201 |
| Entity Type | Organization |
| Organization Name | CELEBRACES SAN PEDRO LLC |
| Other Organization Name | CELEBRATE DENTAL & BRACES |
| Practice Address |
6868 San Pedro Ave San Antonio TX 78216-7201 |
| Practice Telephone | 2106757000 |
| Mailing Telephone | 2106757000 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | DAVID FERGUSON (MANAGER) |
| Authorized Official Telephone | 2106757000 |
| Authorized Official Credential | DDS CAGS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Celebrate Dental & Braces | Doing Business As Name - Organization |
| Street Address |
6868 SAN PEDRO AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864720 | Valudental San Pedro LLC | Dentist | 6868 San Pedro Ave, San Antonio, TX 78216-7201 | 2019-04-09 |
| 1326656349 | Sleep Apnea Gurus Pllc | Durable Medical Equipment & Medical Supplies | 6868 San Pedro Ave, San Antonio, TX 78216-7201 | 2020-07-15 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138733 | Gabriel Senties Dds Ms Pllc | Dentist | 11153 Westwood Loop Ste 204, San Antonio, TX 78253-6533 | 2020-03-11 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1841765781 | Robert Caesar | Dentist | 18720 Stone Oak Pkwy Ste 207, San Antonio, TX 78258-4151 | 2018-10-08 |
| 1295226967 | Cassandra Clark Campbell | Dentist | 4902 Golden Quail Ste 100, San Antonio, TX 78240-1637 | 2018-05-29 |
| 1841781093 | Kelsey Kraft | Dentist | 11902 Mission Trace St, San Antonio, TX 78230-2124 | 2018-05-23 |
| 1528574886 | Precision Smile Structure South Park | Dentist | 2327 Sw Military Dr Ste 102, San Antonio, TX 78224-1483 | 2017-12-22 |
| 1477079945 | David Gu | Dentist | 14034 Nacogdoches Rd, San Antonio, TX 78247-1929 | 2017-08-16 |
| 1831563741 | Gabriel Senties-ramirez | Dentist | 4025 E Southcross Blvd Ste 1, San Antonio, TX 78222-3640 | 2015-11-17 |
| 1174929459 | U Too Dental | Dentist | 3543 Roosevelt Ave, San Antonio, TX 78214-2832 | 2014-11-13 |
| 1134521214 | Smiletrends | Dentist | 24718 Ellesmere, San Antonio, TX 78257 | 2014-09-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on CELEBRACES SAN PEDRO LLC.
| 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.