Ingram Hills Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22167 Issued in TX

Legal business name

INGRAM HILLS DENTAL, PLLC

Practice address

4496 Callaghan Rd
San Antonio, TX 78228-3400

Phone

(210) 435-4601

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michele M Bishop, DDS

Title

Manager

Phone

(210) 435-4601

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Perry Alfano, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1558479337
  NPD (past)
• Ernest Thomas Bice, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1487762241
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1063840643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4496 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283400",
            "telephone_number": "210-435-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4496 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283400",
            "telephone_number": "210-435-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM HILLS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-435-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liudmyla Oleksiyivna Ingle, FNP
• Rosalinda Ingle, LVN
• Amanda L. Inglish, APRN, FNP-C
• Paul T Ingmundson, PH.D.
• Ingram Assisted Living LLC
• Ingram Mall Dental Center, P.L.L.C.
• Ingram Mall FDC PA
• Ingram Mall Fdcpa
• Alma Ingram Nlemadim
• Dennis Ingram

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.