Cresta Bella Dental and Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRESTA BELLA DENTAL AND BRACES

Doing business as

Cresta Bella Dental and Braces

Practice address

19787 Ih 10 W Ste 204
San Antonio, TX 78257-1695

Phone

(210) 598-6002

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dave Goldwyn Jequinto, DDS

Title

Owner/Dentist

Phone

(210) 598-6002

Specialties & licenses 1

Addresses

Other names 1

• Cresta Bella Dental and Braces Doing business as

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1093475212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19787 IH 10 W STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571695",
            "telephone_number": "210-598-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19787 IH 10 W STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571695",
            "telephone_number": "210-598-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTA BELLA DENTAL AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "JEQUINTO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "GOLDWYN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-598-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cresta Bella Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Crenshaw, DNP, APRN, FNP-C
• Jeanette Crenshaw, MSN, APRN, FNP-BC
• Shannon Crenshaw, ACNP
• Veronica Jolene Crenwelge
• Roselle A Crespo, OTR
• Andre Saul Crestani
• Crestview Health PLLC
• Rebekah Elaine Creswell, MA
• Teenya Creswell, LPC
• Maxwell Ryan Cretcher, D.O.

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.