Bulverde Premier Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BULVERDE PREMIER DENTAL

Practice address

20540 Highway 46 W Ste 100
Spring Branch, TX 78070-6825

Phone

(830) 980-8099

NPI assigned

Dec 14, 2015

Last updated

Dec 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bethany Enderle

Title

Practice Director

Phone

(830) 980-8099

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1083089270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20540 HIGHWAY 46 W STE 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706825",
            "telephone_number": "830-980-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20540 HIGHWAY 46 W STE 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706825",
            "telephone_number": "830-980-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULVERDE PREMIER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "830-980-8099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branch Out Behavioral
• Emily Browne
• Bulverde Dentistry, PC (Bulverde Dentistry)
• Bulverde Emergency Physicians, PLLC
• Bulverde Orthodontics PA (Ferris Orthodontics)
• Bulverde Rehabilitation & Wellness (Bulverde Physical Therapy & Wellness Center)
• Bulverde Rehabilitation & Wellness Center PLLC (Bulverde Physical Therapy & Wellness Center)
• Bulverde-Spring Branch EMS (Bulverde-Spring Branch)
• Bulverde-Spring Branch EMS
• C.O.X. Capital, LLC (ABA Direct)

• Dentist in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.