Celebraces Marbach

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24904 Issued in TX

Legal business name

CELEBRACES MARBACH

Doing business as

Celebrate Dental & Braces

Practice address

8700 Marbach Rd
San Antonio, TX 78227-2345

Phone

(210) 675-7000

Fax

(210) 675-7005

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David B Ferguson, DDS, CAGS

Title

Manager

Phone

(210) 675-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Celebrate Dental & Braces Doing business as

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1043642994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272345",
            "telephone_number": "210-675-7000",
            "fax_number": "210-675-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272345",
            "telephone_number": "210-675-7000",
            "fax_number": "210-675-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRACES MARBACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-675-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, CAGS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205340703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.