J & C Dental Ortho PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

J & C DENTAL ORTHO PLLC

Practice address

12314 Potranco Rd Suite # 101
San Antonio, TX 78253

Phone

(210) 787-3992

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Bexar Pediatric Dentists & Orthodontists Doing business as

Locations

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1013668136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12314 POTRANCO RD SUITE # 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-787-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12314 POTRANCO RD SUITE # 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-787-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & C DENTAL ORTHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bexar Pediatric Dentists & Orthodontists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Izaguirre-Frometa
• Jacqueline Izarraras
• Seema Izfar, MD
• Oscar Alberto Iznaola -Esquivel, M.D.
• William Rudy Izzard, DDS
• J & C Oliver PLLC
• J and P Jones Proprietors LLC
• J Eric Stupka MD PA
• J H Higuchi M.D. P.a.
• J Lin Joyner DC PC

• 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 Jan 11, 2022; 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.