Individual provider Active NPI

Christina D Idar, M.A., CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1043482318
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101644 Issued in TX
Practice address
1460 Martinez Losoya Rd
San Antonio, TX 78221-9648
Phone
(210) 882-1600
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101644 TX Primary

Addresses

Primary practice location

1460 Martinez Losoya Rd
San Antonio, TX 78221-9648

Mailing address

3403 Lura LN
San Antonio, TX 78228-2358
Phone (210) 378-4064

Other names 1

  • Christina D Ibanez-Idar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
101644TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1043482318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 LURA LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782282358",
            "telephone_number": "210-378-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARTINEZ LOSOYA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782219648",
            "telephone_number": "210-882-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDAR",
        "first_name": "CHRISTINA",
        "middle_name": "D",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "IBANEZ-IDAR",
            "middle_name": "D",
            "credential": "M.A., CCC-SLP",
            "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 Aug 19, 2025; 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.