Organization Active NPI

Seguin Family & Implant Dentistry

  • General Practice Dentistry
  • Seguin, TX
National Provider Identifier
1073949079
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20329 Issued in TX
Legal business name
SEGUIN FAMILY & IMPLANT DENTISTRY
Practice address
404 E Mountain St
Seguin, TX 78155-5524
Phone
(830) 491-5385
Fax
(830) 491-5454
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Danny J Holtzcla, D.D.S, M.S.
Title
Part Owner
Phone
(830) 491-5385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20329 TX Primary

Addresses

Primary practice location

404 E Mountain St
Seguin, TX 78155-5524

Mailing address

404 E Mountain St
Seguin, TX 78155-5524
Phone (830) 491-5385

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1073949079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E MOUNTAIN ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555524",
            "telephone_number": "830-491-5385",
            "fax_number": "830-491-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E MOUNTAIN ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555524",
            "telephone_number": "830-491-5385",
            "fax_number": "830-491-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUIN FAMILY & IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "HOLTZCLA",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "830-491-5385",
        "authorized_official_credential": "D.D.S, M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.