Organization Active NPI

Toothpik PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1134524168
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27735 Issued in TX
Legal business name
TOOTHPIK PLLC
Practice address
10842 Potranco Rd
115
San Antonio, TX 78251-3307
Phone
(210) 607-6453
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Dr. Prabhdeep Grewal, DDS
Title
Owener
Phone
(210) 607-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 27735 TX Primary

Addresses

Primary practice location

10842 Potranco Rd
115
San Antonio, TX 78251-3307

Mailing address

8725 Marbach Rd
237
San Antonio, TX 78227-2376
Phone (210) 627-6305

National Provider Directory

National Provider Directory

Locations

8725 Marbach Rd
Ste 237
San Antonio, TX 78227

10842 Potranco Rd
Ste 115
San Antonio, TX 78251
Phone (210) 607-6453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1134524168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 MARBACH RD",
            "address_2": "237",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272376",
            "telephone_number": "210-627-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 POTRANCO RD",
            "address_2": "115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513307",
            "telephone_number": "210-607-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHPIK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "PRABHDEEP",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "210-607-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27735",
            "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 Nov 4, 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.