Organization Active NPI

De la Rosa & Vela Dentistry

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1043640998
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14393 Issued in TX
Legal business name
DE LA ROSA & VELA DENTISTRY
Doing business as
All Smiles Dental Center
Practice address
7910 Teak LN Ste 207
San Antonio, TX 78209-1764
Phone
(210) 804-2212
Fax
(210) 804-2355
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Mrs. Patricia De la Rosa
Title
Office Manager
Phone
(210) 804-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14393 TX Primary

Addresses

Primary practice location

7910 Teak LN Ste 207
San Antonio, TX 78209-1764

Mailing address

7910 Teak LN Ste 207
San Antonio, TX 78209-1764
Phone (210) 804-2212

Other identifiers 3

IdentifierTypeStateIssuer
111234402MedicaidTX
2160095-01MedicaidTX
2819658-01MedicaidTX

Other names 1

  • All Smiles Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

7910 Teak Ln
Ste 207
San Antonio, TX 78209
Phone (210) 714-7429

Practitioners & affiliated clinicians

Practitioners 1

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1043640998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 TEAK LN STE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091764",
            "telephone_number": "210-804-2212",
            "fax_number": "210-804-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 TEAK LN STE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091764",
            "telephone_number": "210-804-2212",
            "fax_number": "210-804-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA ROSA & VELA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-804-2212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111234402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160095-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2819658-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Smiles Dental Center",
            "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 Mar 19, 2019; 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.