Organization Active NPI

Atique Orthodontics, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1013106731
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22352 Issued in TX
Legal business name
ATIQUE ORTHODONTICS, P.A.
Practice address
2770 E Evans Rd
Suite 103
San Antonio, TX 78259-2752
Phone
(210) 497-5500
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Maria Isabel Atique, DDS
Title
President
Phone
(210) 497-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22352 TX Primary

Addresses

Primary practice location

2770 E Evans Rd
Suite 103
San Antonio, TX 78259-2752

Mailing address

340 Treeline Park
# 1229
San Antonio, TX 78209-1888
Phone (210) 826-7422

National Provider Directory

National Provider Directory

Locations

2770 E Evans Rd
Ste 103
San Antonio, TX 78259
Phone (210) 497-5500

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1013106731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TREELINE PARK",
            "address_2": "# 1229",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091888",
            "telephone_number": "210-826-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 E EVANS RD",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592752",
            "telephone_number": "210-497-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATIQUE ORTHODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ATIQUE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-497-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.