Organization Active NPI

Potranco Family Dentistry PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1053286062
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POTRANCO FAMILY DENTISTRY PLLC
Practice address
12355 Potranco Rd Ste 105
San Antonio, TX 78253-5847
Phone
(210) 202-1604
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Craig Copeland
Title
DMD/Owner
Phone
(940) 220-7833

Specialties & licenses 1

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

Addresses

Primary practice location

12355 Potranco Rd Ste 105
San Antonio, TX 78253-5847

Mailing address

5800 N Interstate 35 Ste 205
Denton, TX 76207-1438
Phone (940) 220-7833

National Provider Directory

National Provider Directory

Locations

12355 Potranco Rd
Ste 105
San Antonio, TX 78253
Phone (210) 202-1604

Practitioners & affiliated clinicians

Practitioners 4

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": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1053286062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12355 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535847",
            "telephone_number": "210-202-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRANCO FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "940-220-7833"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Oct 8, 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.