Active NPI
Bexar Dental Center
Doing business as The Smile Center
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1083796882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BEXAR DENTAL CENTER
- Doing business as
- The Smile Center
- Practice address
- 803 Castroville Rd
Suite 412
San Antonio, TX 78237-3153 - Phone
- (210) 435-6090
- NPI assigned
- Oct 20, 2006
- Last updated
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David J. Yassa, DDS
- Title
- Billing/Collections Specialist
- Phone
- (210) 771-7327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
803 Castroville Rd
Suite 412
San Antonio, TX 78237-3153
Mailing address
803 Castroville Rd
Suite 412
San Antonio, TX 78237-3153
Phone (210) 435-6090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G-60109-4 | Other | TX | TEXAS CHIP PROVIDER ID |
Other names 1
- The Smile Center
National Provider Directory
National Provider DirectoryLocations
803 Castroville Rd
Ste 412
San Antonio, TX 78237
Phone (210) 435-6090
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1679654461
-
- General Practice Dentistry
- Dallas, TX
- NPI 1952484750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1083796882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 CASTROVILLE RD",
"address_2": "SUITE 412",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373153",
"telephone_number": "210-435-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 CASTROVILLE RD",
"address_2": "SUITE 412",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373153",
"telephone_number": "210-435-6090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEXAR DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "YASSA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "BILLING/COLLECTIONS SPECIALIST",
"authorized_official_telephone_number": "210-771-7327",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS CHIP PROVIDER ID",
"identifier": "G-60109-4",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Smile Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
- Bexar County Hospital District
- Bexar County Hospital District - Eastside (University Health System)
- Bexar County Hospital District Dba University Health System
- Bexar County Juvenile Probation Department
- Bexar County Management Co LLC
- Bexar Diagnostic Medicine Associates PA
- Bexar Durable Medical Equipment
- Bexar Emergency Group PA
- Bexar Emergency Physicians, PLLC
- Bexar Eye PLLC (Trinidad Vision Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.