Sandra Stephany Urban, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33013 Issued in TX

Practice address

4431 68TH St
Fort Hood, TX 76544-5042

Phone

(505) 917-5309

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Stephany Delgado-Quezada Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1104347327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BALD RIDGE CT",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424451",
            "telephone_number": "505-917-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 68TH ST",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445042",
            "telephone_number": "505-917-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "SANDRA",
        "middle_name": "STEPHANY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DELGADO-QUEZADA",
            "middle_name": "STEPHANY",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Channelle Turner
• Rachel Gloria Tyler
• Thomas Ulmer, DO
• United States Army
• University of Texas Health Science Center San Antonio
• Matthew Hiroshi Uyeda, DO
• Thomas P Vaccaro, M.A.
• Mark Kekoa Valdez
• Terry Paul Valentino, LPN
• Carlos Alberto Valle-Valdez

• General Practice Dentistry in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.