J.Perry Fikes D.D.S P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13610 Issued in TX

Legal business name

J.PERRY FIKES D.D.S P.C.

Practice address

400 N Loop 1604 E
Suite 205
San Antonio, TX 78232-1258

Phone

(210) 496-3869

NPI assigned

Apr 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

J. Perry Fikes, D.D.S.

Title

Owner

Phone

(210) 496-3869

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003035585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E",
            "address_2": "SUITE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321258",
            "telephone_number": "210-496-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E",
            "address_2": "SUITE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321258",
            "telephone_number": "210-496-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.PERRY FIKES D.D.S P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-496-3869",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.