SOUTH TEXAS PERIODONTAL ASSOCIATES (NPI# 1659698215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659698215 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS PERIODONTAL ASSOCIATES |
| Practice Address |
6502 Bandera Rd Ste 102 San Antonio TX 78238-1445 |
| Practice Telephone | 2106800706 |
| Practice Fax Number | 2105094518 |
| Mailing Telephone | 2106800706 |
| Mailing Fax Number | 2105094518 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | DR. BRIAN WALLACE BECK (OWNER) |
| Authorized Official Telephone | 2106547878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
15287 | TX | Dental Providers |
| Street Address |
6502 BANDERA RD STE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78238-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497288443 | Jovana Rehabilitation Medicine & Pain Pllc | Physical Medicine & Rehabilitation | 6502 Bandera Rd Ste 102, San Antonio, TX 78238-1445 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1043857360 | Danielle Renee De Luna | Counselor | 5505 Lost Lane, San Antonio, TX 78238 | 2019-12-05 |
| 1013444777 | Avery Rodriguez | Physical Therapy Assistant | 5270 Bandera Rd Ste 14, San Antonio, TX 78238 | 2017-05-12 |
| 1760898894 | Silas Pimentel | Physical Therapist | 5720 Bandera Rd Ste 14, San Antonio, TX 78238 | 2014-07-09 |
| 1942550553 | Stanley Toh Forze | Registered Nurse | 6933 Border Brk Apt 1910, San Antonio, TX 78238 | 2012-09-12 |
| 1891004032 | Texan Smile Dentistry 3 PC | Dentist | 5983 Bandera Rd., San Antonio, TX 78238 | 2010-10-06 |
| 1275847683 | Deborah Michelle Solorzano | Dentist | 5715 Evers Road, San Antonio, TX 78238 | 2010-07-28 |
| 1932436326 | Campos Family Dental, P.C. | Dentist | 6140 Wurzbach Road, San Antonio, TX 78238 | 2009-11-06 |
| 1063665495 | Benjamino L Granato | Durable Medical Equipment & Medical Supplies | 6415 Bandera, San Antonio, TX 78238 | 2008-10-29 |
| 1891962262 | Gerald L Froemming | Dentist | 6436 Bandera Road, #1, San Antonio, TX 78238 | 2008-05-14 |
| Find all providers in zip 78238 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1851815922 | Jenna Claire Hyer | Dentist | 7703 Floyd Curl Dr # 7894, San Antonio, TX 78229-3901 | 2017-08-01 |
| 1902337165 | Hania Alkudmani | Dentist | 24051 W Interstate 10, San Antonio, TX 78257 | 2017-03-21 |
| 1275070328 | Mylinh Duong | Dentist | 8210 Floyd Curl Dr - Uthscsa, Graduate Periodontics - Msc 8122, San Antonio, TX 78229-3923 | 2017-01-27 |
| 1558815043 | Babak Najafi-abrandabadi | Dentist | 5718 University Hts Ste 201, San Antonio, TX 78249-1120 | 2016-08-12 |
| 1407249865 | Andrew Weber, D.m.d., M.s., Pllc | Dentist | 14500 San Pedro Ave Ste 200, San Antonio, TX 78232-4354 | 2015-03-10 |
| 1821430919 | Anukampa Dutt | Dentist | 19115 Prescott Oaks, San Antonio, TX 78258 | 2013-07-18 |
| 1427322825 | Network Provider Associates, P.C. | Dentist | 6028 Worth Parkway, Suite 101, San Antonio, TX 78257-5071 | 2012-03-02 |
| 1518105071 | John Chukwuedum Aniemeke | Dentist | 4145 St Charles Bay, San Antonio, TX 78229-2085 | 2009-01-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78238 |
Please comment or provide details below to improve the information on SOUTH TEXAS PERIODONTAL ASSOCIATES.
| 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.