NPIMap

Organization Active NPI

Soumava Sen, DDS, P.C.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1114338654
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUMAVA SEN, DDS, P.C.
Practice address
7334 San Pedro Ave
San Antonio, TX 78216-6224
Phone
(210) 460-7869
Fax
(210) 757-4431
NPI assigned
May 19, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Soumava Sen
Title
Owner
Phone
(714) 480-3000

Corporate family (same tax ID) 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

National Provider Directory

National Provider Directory
Tax ID family
Soumava Sen DDS PC (46 organizations share this tax ID)

Locations

7334 San Pedro Ave
San Antonio, TX 78216
Phone (210) 460-7869

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

7334 San Pedro Ave
San Antonio, TX 78216-6224

Mailing address

530 S Main St
Orange, CA 92868-4525
Phone (714) 480-3000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
G60850MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2014.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1114338654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684525",
            "telephone_number": "714-480-3000",
            "fax_number": "714-571-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166224",
            "telephone_number": "210-460-7869",
            "fax_number": "210-757-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUMAVA SEN, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "SOUMAVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-480-3000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G60850",
            "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 Jul 31, 2014; 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.