Cibolo Denter Center PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CIBOLO DENTER CENTER PLLC

Practice address

3893 Cibolo Valley Dr
104
Cibolo, TX 78108

Phone

(210) 658-7200

Fax

(210) 658-7206

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Enriquez

Title

Dentist

Phone

(210) 658-7200

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie M. Knox, DDS

  • General Practice Dentistry
  • Schertz, TX
  • NPI 1316103161
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1043653892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 CIBOLO VALLEY DR",
            "address_2": "104",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-658-7200",
            "fax_number": "210-658-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 CIBOLO VALLEY DR",
            "address_2": "104",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-658-7200",
            "fax_number": "210-658-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIBOLO DENTER CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-658-7200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windy Carter, RN
• Kameryn Rene Castro
• Desiree Nicole Chapa, O.D.
• Julie Chinni
• Cibolo 7To7 PLLC
• Cibolo Emergency Physicians, PLLC
• Cibolo Eye Care PLLC (Cibolo Eye Care)
• Cibolo Modern Dentistry, PC
• Cibolo Pediatric Dentistry, PLLC
• Cibolo-South Texas Center for Pediatric Care

• Dentist in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.