Detailed Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DETAILED DENTAL, PLLC

Practice address

6212 De Zavala Rd
San Antonio, TX 78249-2201

Phone

(210) 694-4087

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Julio Del RioNPI 1477529477

Title

Member

Phone

(210) 694-4087

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julio Del Rio, DMD

  • Dentist
  • San Antonio, TX
  • NPI 1477529477

  General Practice

  NPD (past) Authorized official
• Jonathan Minho Ha, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1851811442

  General Practice

  NPD (past)
• Richard M Potter, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1043438567
  NPD (past)
• Leen Qutachi, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1083100564

  General Practice

  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1013292234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492201",
            "telephone_number": "210-694-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492201",
            "telephone_number": "210-694-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETAILED DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "DEL RIO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-694-4087",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Despres, L.P.C.
• Kenneth F Desrosier, M.D.
• Ashton Dessert
• Desta Therapy, LLC
• Destination Independence LLC
• Kimberly Detherow, APRN
• Brian P Deuell, MD
• Melissa S Deuter, MD
• Madhavi Devagiri, M.D.
• Developmental Interventions, LLC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.