Organization Active NPI

J.W Hernandez Jr. DDS PC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1043873060
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
J.W HERNANDEZ JR. DDS PC
Practice address
1347 Fair Ave
San Antonio, TX 78223-1437
Phone
(210) 533-8191
Fax
(210) 533-5928
NPI assigned
Apr 16, 2019
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Anna Hernandez
Title
Office Manager
Phone
(210) 533-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1347 Fair Ave
San Antonio, TX 78223-1437

Mailing address

1347 Fair Ave
San Antonio, TX 78223-1437
Phone (210) 533-8191

National Provider Directory

National Provider Directory

Locations

1347 Fair Ave
San Antonio, TX 78223
Phone (210) 333-8191

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1043873060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231437",
            "telephone_number": "210-533-8191",
            "fax_number": "210-533-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231437",
            "telephone_number": "210-533-8191",
            "fax_number": "210-533-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.W HERNANDEZ JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-533-8191"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 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.