Reconstructive Dental Specialists of Texas

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

RECONSTRUCTIVE DENTAL SPECIALISTS OF TEXAS

Practice address

235 E Hildebrand Ave Ste 200
San Antonio, TX 78212-2430

Phone

(210) 821-5316

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Fawzi Hijazi, DDSNPI 1427455195

Title

Ceo

Phone

(210) 821-5316

Specialties & licenses 1

Addresses

Other names 1

• Great Life Dental Doing business as

Locations

Practitioners 1

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

• Fawzi Hijazi, BDS,DDS,CDT

  • Dentist
  • San Antonio, TX
  • NPI 1427455195
  NPD Authorized official

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1083263149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E HILDEBRAND AVE # 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122430",
            "telephone_number": "210-821-5316",
            "fax_number": "210-829-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E HILDEBRAND AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122430",
            "telephone_number": "210-821-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE DENTAL SPECIALISTS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "HIJAZI",
        "authorized_official_first_name": "FAWZI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-821-5316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Life Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco Eduardo Recinos, DDS
• Maria Rosanna Garrido Recio, MD
• Stephanie Lee Recio, PTA
• Veronica Renee Recio
• Isabella Recko, OTR
• Recovercare LLC
• Recovery Behavioral Health of San Antonio LLC
• Recovery Capital Group, Inc
• Precious Kaye Carillo Recto
• Jessica Rector

• Prosthodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.