NPIMap

Organization Active NPI

Jorge Munoz DMD PA

  • Dentist
  • San Antonio, TX
National Provider Identifier
1043471683
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19985 Issued in TX
Legal business name
JORGE MUNOZ DMD PA
Practice address
8105 Culebra Road
San Antonio, TX 78251-1624
Phone
(210) 681-9780
Fax
(210) 681-7029
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Jorge C Munoz, DMDNPI 1669589875
Title
Owner
Phone
(210) 681-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19985 TX Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13580 TX
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 23474 TX

Addresses

Primary practice location

8105 Culebra Road
San Antonio, TX 78251-1624

Mailing address

8105 Culebra Road
San Antonio, TX 78251-1624
Phone (210) 681-9780

Other names 1

  • Smiles of San Antonio Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1043471683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 CULEBRA ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511624",
            "telephone_number": "210-681-9780",
            "fax_number": "210-681-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 CULEBRA ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511624",
            "telephone_number": "210-681-9780",
            "fax_number": "210-681-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE MUNOZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-681-9780",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19985",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "13580",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of San Antonio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 17, 2008; 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.