NPIMap

Organization Active NPI

Klenke & Associates, PA

Doing business as West Avenue Family Dental

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1033660725
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KLENKE & ASSOCIATES, PA
Doing business as
West Avenue Family Dental
Practice address
12251 West Ave
San Antonio, TX 78216-2518
Phone
(210) 342-6734
Fax
(210) 375-1396
NPI assigned
Oct 18, 2016
Organization subpart
Yes
Parent organization
KLENKE & ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Kathleen B Fonseca, MBA
Title
Chief Operating Officer
Phone
(210) 877-2273

Specialties & licenses 1

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

Addresses

Primary practice location

12251 West Ave
San Antonio, TX 78216-2518

Mailing address

11115 Wurzbach Rd
San Antonio, TX 78230-2643
Phone (210) 877-2273

Other names 1

  • West Avenue Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Klenke Associates PA2 organizations share this tax ID, including this one
Part of
Klenke Associates PA

Other organizations with this tax ID 1

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

Locations

12251 West Ave
San Antonio, TX 78216
Phone (210) 342-6734

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1033660725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302643",
            "telephone_number": "210-877-2273",
            "fax_number": "210-561-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162518",
            "telephone_number": "210-342-6734",
            "fax_number": "210-375-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLENKE & ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLENKE & ASSOCIATES, PA",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "210-877-2273",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Avenue Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2016; 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.