De Zavala Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DE ZAVALA MODERN DENTISTRY, PC

Practice address

5215 De Zavala Rd Ste 103
San Antonio, TX 78249-2985

Phone

(210) 740-0645

Fax

(210) 757-4067

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Roberto A. Benavides, DDS

Title

Owner

Phone

(210) 740-0645

Specialties & licenses 1

Addresses

Other names 1

• De Zavala Modern Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katarzyna Malgorzata Morchat, D.D.S

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1609320068
  NPD
• Ashley Atkins Thomas, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1649886359
  NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1104475185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8206",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 DE ZAVALA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492985",
            "telephone_number": "210-740-0645",
            "fax_number": "210-757-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ZAVALA MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-740-0645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Zavala Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "De Zavala Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manuel Ronald Biangco De Vera, PT
• Sharlene Dela Cruz De Vera, RN
• Sabina Remmers De Vries, LPC
• De Zavala Dentistry and Orthodontics PLLC
• De Zavala Medical Center
• De Zavala Precision Smile Structure
• Ron Deage, M.A.,LPC,LCDC,LMFT
• Samuel Thomas Deahl II, DMD
• Leonard E Deal, MD
• Anna Marie Dean, RD, LD

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.