NPIMap

Organization Active NPI

Practical Approach Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1124312236
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PRACTICAL APPROACH PEDIATRIC DENTISTRY PLLC
Practice address
9480 Huebner Rd
400
San Antonio, TX 78240-1655
Phone
(210) 697-3900
Fax
(210) 697-3904
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Omolola AdetonaNPI 1033145628
Title
President
Phone
(210) 697-3900

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: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9480 Huebner Rd
400
San Antonio, TX 78240-1655

Mailing address

9480 Huebner Rd
400
San Antonio, TX 78240-1655
Phone (210) 697-3900

National Provider Directory

National Provider Directory

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": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1124312236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 HUEBNER RD",
            "address_2": "400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401655",
            "telephone_number": "210-697-3900",
            "fax_number": "210-697-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 HUEBNER RD",
            "address_2": "400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401655",
            "telephone_number": "210-697-3900",
            "fax_number": "210-697-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL APPROACH PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "ADETONA",
        "authorized_official_first_name": "OMOLOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-697-3900"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE 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 Jun 6, 2011; 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.