Heritage Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14102 Issued in TX

Legal business name

HERITAGE DENTAL CENTER

Practice address

1420 S Ellison Dr
San Antonio, TX 78245-1523

Phone

(210) 673-9051

Fax

(210) 673-9053

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Felipe Morales, DDSNPI 1972729556

Title

Dentist

Phone

(210) 673-9051

Specialties & licenses 1

Addresses

Tax ID family

Felipe Morales DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Felipe Morales D.D.S.

  • General Practice Dentistry
  • New Braunfels, TX
  • NPI 1700089646
  NPD tax ID

Locations

Practitioners 1

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

• Felipe Morales, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1972729556
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033310503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S ELLISON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451523",
            "telephone_number": "210-673-9051",
            "fax_number": "210-673-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S ELLISON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451523",
            "telephone_number": "210-673-9051",
            "fax_number": "210-673-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-673-9051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Hereford, PH.D.
• Nelly Herevia
• Alexandra Maria Heriford, DO
• Benjamin James Heriford, DO
• Heritage Dental
• Heritage Health Center
• Heritage Oaks Management LLC
• Heritage Pediatrics, PLLC
• Ruby Layla Heritage, RPHT
• Chandler Herman

• 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 Aug 22, 2020; 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.