Individual provider Active NPI

Paola Andrea Pinzon, DDS

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
National Provider Identifier
1083137582
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
33211 Issued in TX
Practice address
8210 Floyd Curl Dr # 8103
San Antonio, TX 78229-3923
Phone
(210) 450-3273
Fax
(210) 450-2223
NPI assigned
Jul 18, 2017
Last updated
Jul 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 33211 TX Primary

Addresses

Primary practice location

8210 Floyd Curl Dr # 8103
San Antonio, TX 78229-3923

Mailing address

6155 Eckhert Rd Apt 10204
San Antonio, TX 78240-3186
Phone (214) 404-8583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240727000261 TX Practitioner - Oral SurgeryPractitioner - Dentist 4981140860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33211TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Again Dental PLLC CurrentSince May 29, 2024 Accepting new patients

Locations

3515 N Loy Lake Rd
Sherman, TX 75090
Phone (903) 487-7777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1083137582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 ECKHERT RD APT 10204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403186",
            "telephone_number": "214-404-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 FLOYD CURL DR # 8103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293923",
            "telephone_number": "210-450-3273",
            "fax_number": "210-450-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINZON",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "33211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.