Organization Active NPI

Wiseman Family Dentistry PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1063371631
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WISEMAN FAMILY DENTISTRY PLLC
Practice address
5420 Wiseman Blvd
Suite 110
San Antonio, TX 78253
Phone
(726) 220-5999
Fax
(726) 220-5500
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dr. Esha Shah, DDS
Title
Owner
Phone
(726) 220-5999

Specialties & licenses 1

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

Addresses

Primary practice location

5420 Wiseman Blvd
Suite 110
San Antonio, TX 78253

Mailing address

9 Trophy RDG
San Antonio, TX 78258-7714
Phone (726) 220-5999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1063371631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TROPHY RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587714",
            "telephone_number": "726-220-5999",
            "fax_number": "726-220-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WISEMAN BLVD",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "726-220-5999",
            "fax_number": "726-220-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMAN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-220-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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 Jan 20, 2026; 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.