Organization Active NPI

Bexar Dental Center

Doing business as The Smile Center

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1083796882
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G-60109-4OtherTXTEXAS CHIP PROVIDER ID

Other names 1

  • The Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.