Organization Active NPI

Vincent Fontana, Jr., D.D.S., Inc.

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1013910009
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10506 Issued in TX
Legal business name
VINCENT FONTANA, JR., D.D.S., INC.
Practice address
207 W Sunset Rd
San Antonio, TX 78209-2634
Phone
(210) 826-9523
Fax
(210) 826-9524
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Dr. Vincent Fontana Jr., D.D.S.
Title
President
Phone
(210) 826-9523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10506 TX Primary

Addresses

Primary practice location

207 W Sunset Rd
San Antonio, TX 78209-2634

Mailing address

207 W Sunset Rd
San Antonio, TX 78209-2634
Phone (210) 826-9523

Other identifiers 3

IdentifierTypeStateIssuer
TXB113099OtherMEDICARE
D10506OtherTXBLUE CROSS BLUE SHIELD
821950OtherTXUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

207 W Sunset Rd
San Antonio, TX 78209
Phone (210) 497-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1013910009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W SUNSET RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092634",
            "telephone_number": "210-826-9523",
            "fax_number": "210-826-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W SUNSET RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092634",
            "telephone_number": "210-826-9523",
            "fax_number": "210-826-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT FONTANA, JR., D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-826-9523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "10506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB113099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D10506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "821950",
            "state": "TX"
        }
    ],
    "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 Mar 4, 2014; 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.