Organization Active NPI

Safari Childrens Dentistry & Braces PLLC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1114532884
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SAFARI CHILDRENS DENTISTRY & BRACES PLLC
Practice address
13032 Nacogdoches Rd Ste 202
San Antonio, TX 78217-1962
Phone
(210) 404-7228
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Victoria Ramirez, DDSNPI 1184904195
Title
Managing Member
Phone
(210) 872-4075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

13032 Nacogdoches Rd Ste 202
San Antonio, TX 78217-1962

Mailing address

13032 Nacogdoches Rd Ste 202
San Antonio, TX 78217-1962
Phone (210) 404-7228

National Provider Directory

National Provider Directory

Locations

13032 Nacogdoches Rd
Ste 202
San Antonio, TX 78217
Phone (210) 590-8858

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1114532884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13032 NACOGDOCHES RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171962",
            "telephone_number": "210-404-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13032 NACOGDOCHES RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171962",
            "telephone_number": "210-404-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI CHILDRENS DENTISTRY & BRACES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-872-4075",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 18, 2023; 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.