Willie Cantu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17063 Issued in TX

Practice address

13133 NW Military Hwy
Ste. 500
San Antonio, TX 78231-1813

Phone

(210) 479-7500

Fax

(210) 479-7585

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023038056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13133 NW MILITARY HWY",
            "address_2": "STE. 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311813",
            "telephone_number": "210-479-7500",
            "fax_number": "210-479-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 NW MILITARY HWY",
            "address_2": "STE. 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311813",
            "telephone_number": "210-479-7500",
            "fax_number": "210-479-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "WILLIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Cantu, LCDC
• Sylvia Cantu
• Tammy Rose Cantu, L.P.C.
• Vanessa Cristina Cantu, LPC
• Victor Cantu, RN
• Yolanda Cantu
• Yolanda Cantu
• Yolanda Ruth Cantu, LSA
• Amy Cantwell, CNIM
• M Kathleen Canty, CNS

• 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 Jul 8, 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.