Organization Active NPI

Nursing Home Dentistry, PLLC

Doing business as Nursing Home Dentistry

  • Dentist
  • Floresville, TX
National Provider Identifier
1073050993
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28498 Issued in TX
Legal business name
NURSING HOME DENTISTRY, PLLC
Doing business as
Nursing Home Dentistry
Practice address
1615 11TH St
Floresville, TX 78114-2403
Phone
(214) 218-7403
Fax
(210) 899-0077
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Melodie R Diamond, DDSNPI 1568742476
Title
Managing Member
Phone
(214) 218-7403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 28498 TX Primary

Addresses

Primary practice location

1615 11TH St
Floresville, TX 78114-2403

Mailing address

14439 NW Military Hwy
Suite 108, Box 424
San Antonio, TX 78231
Phone (210) 248-9946

Other names 1

  • Nursing Home Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1073050993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 NW MILITARY HWY",
            "address_2": "SUITE 108, BOX 424",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-248-9946",
            "fax_number": "210-899-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 11TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142403",
            "telephone_number": "214-218-7403",
            "fax_number": "210-899-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING HOME DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-218-7403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nursing Home Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.