Ideal Dental of Alamo Ranch PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDEAL DENTAL OF ALAMO RANCH PLLC

Practice address

12007 Alamo Ranch Pkwy, Ste 122
San Antonio, TX 78253

Phone

(210) 504-2953

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Carol Canava

Title

Insurance Manager

Phone

(972) 361-0600

Specialties & licenses 1

Addresses

Other names 1

• Ideal Dental of Alamo Ranch Doing business as

Locations

Practitioners 3

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

• Karlee Deanne Cromer, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1083284756
  NPD
• Milana Andrea Guadagno, DMD

  • Dentist
  • San Antonio, TX
  • NPI 1669102190
  NPD
• Erika Selina Rangel Juarez, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1003516410
  NPD

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1114411089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841438",
            "telephone_number": "972-331-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 ALAMO RANCH PKWY, STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-504-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF ALAMO RANCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CANAVA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "972-361-0600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental of Alamo Ranch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ideal Dental of Alamo Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina D Idar, M.A., CCC-SLP
• Dawn Idar
• Karen Kay Idar, LMT
• Michelle Idar
• Ideal Dental Brooks City PLLC
• Ideal Dental of Bulverde PLLC
• Ideal Dental of Eilan PLLC
• Ideal Dental of Potranco PLLC
• Ideal Dental of Road Runner PLLC
• Ideal Dental of Stone Oak

• 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 Jan 2, 2020; 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.