West Bandera Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23695 Issued in TX

Legal business name

WEST BANDERA DENTAL, PLLC

Practice address

430 W Bandera Rd
Boerne, TX 78006-2500

Phone

(830) 428-3698

NPI assigned

Jul 30, 2018

Organization subpart

No

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

Authorized official

Name

Everett Chad Evans, DDS

Title

Owner/DDS

Phone

(830) 428-3698

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1053899435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762097557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062500",
            "telephone_number": "830-428-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BANDERA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "830-428-3698",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wells Physical Therapy of Boerne, P.L.L.C.
• Amanda Lawrence Wells, OTR
• Brent Lane Wells, P.T.,D.P.T., O.C.S
• Keianna Wells, RBT
• Andrew Steven Welsch, D.C.
• West Texas Urgent Care LLC
• Tyler West, PT
• Lisa Wester
• Kathryn Elizabeth Whitacre
• Donna White

• General Practice Dentistry in Boerne, TX
• Providers in Boerne, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.