DR. JOSE ENRIQUE AREVALO (NPI# 1689872251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689872251 |
| Entity Type | Individual |
| Full Name | DR. JOSE ENRIQUE AREVALO |
| Credential | D.D.S |
| Practice Address |
18850 Stone Oak Pkwy San Antonio TX 78258-4113 |
| Mailing Address |
1730 Sw Military Dr Ste 102 San Antonio TX 78221-1400 |
| Practice Telephone | 2104990303 |
| Mailing Telephone | 2106100807 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
32821 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX IDENTIFICATION | 270018516 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1730 Sw Military Dr Ste 102, San Antonio, TX 782211400 | 2106100807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255862199 | Jose Alex Arevalo | Occupational Therapist | 657 Stewart Ave, Bethpage, NY 11714-2712 | 2017-03-22 |
| 1548709280 | Jose Arevalo | Rehabilitation Practitioner | 5950 Barbosa Dr Unit 12, North Las Vegas, NV 89031-4159 | 2017-02-14 |
| 1396189015 | Jose Alton Arevalo | Nurse Practitioner | 5657 E 41st St, Tulsa, OK 74135-6010 | 2013-04-24 |
| 1447382502 | Jose Alberto Arevalo | Family Medicine | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-03-12 |
| Street Address |
18850 STONE OAK PKWY |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922168996 | Odes Robertson | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2006-12-11 |
| 1154557072 | Houssam Eddin Alghadban | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2009-06-05 |
| 1356516637 | Brett Anthony Seshul | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2008-04-28 |
| 1952585366 | Yves K Smith | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2007-12-20 |
| 1932307220 | Sarmila Shrestha | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2007-07-06 |
| 1528128642 | Henry Thomas Green | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2006-12-11 |
| 1508926700 | Marcus Ervin | Dentist | 18850 Stone Oak Pkwy, San Antonio, TX 78258-4113 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1912366212 | Smile Workshop Alamo Ranch, Pllc | Dentist | 11282 Culebra Rd Ste 101, San Antonio, TX 78253-7329 | 2016-02-15 |
| 1902101256 | Christin Michelle Giacomino | Dentist | 13419 Orchard Ridge Dr, San Antonio, TX 78231-2210 | 2011-01-18 |
| 1366746596 | Elite Endodontics, P.C. | Dentist | 11901 Toepperwein Road, Suite 902, San Antonio, TX 78233-3161 | 2011-01-03 |
| 1558695569 | Giselle Cardenas Eitter | Dentist | 335 E Sonterra Blvd Ste 100, 100, San Antonio, TX 78258-4071 | 2009-09-23 |
| 1821232745 | Network Provider Associates, P.c | Dentist | 5619 W. Loop 1604 N., Suite 112, San Antonio, TX 78253-5795 | 2009-04-22 |
| 1881838928 | Network Provider Associates, P.C. | Dentist | 3111 Tpc Parkway, Suite 114, San Antonio, TX 78259-2398 | 2009-04-20 |
| 1033375928 | Dentistry of Brownsville, PC | Dentist | 3850 S. North Braunfels Avenue, Suite 101, San Antonio, TX 78223 | 2008-07-31 |
| 1932325834 | B. Aaron Vaughn | Dentist | 1019 Shook Ave, San Antonio, TX 78212-2508 | 2007-04-18 |
| 1942307798 | Liliana Maria Meeker | Dentist | 335 E Sonterra Blvd, Suite 100, San Antonio, TX 78258-4053 | 2006-09-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on DR. JOSE ENRIQUE AREVALO.
| 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.