Organization Active NPI

Cassandra Elkins DDS, PLLC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1104394816
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CASSANDRA ELKINS DDS, PLLC
Practice address
9543 Huebner Rd
San Antonio, TX 78240-1510
Phone
(210) 268-0414
Fax
(210) 694-5066
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Dr. Cassandra J Elkins, DDS
Title
Dentist
Phone
(210) 268-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9543 Huebner Rd
San Antonio, TX 78240-1510

Mailing address

18330 Gran Mesa
San Antonio, TX 78259-2436
Phone (210) 289-8621

Other identifiers 1

IdentifierTypeStateIssuer
368080302MedicaidTX

National Provider Directory

National Provider Directory

Locations

9543 Huebner Rd
San Antonio, TX 78240
Phone (210) 268-0414

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1104394816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 GRAN MESA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592436",
            "telephone_number": "210-289-8621",
            "fax_number": "210-694-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9543 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401510",
            "telephone_number": "210-268-0414",
            "fax_number": "210-694-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA ELKINS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-268-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368080302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 12, 2018; 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.