Individual provider Active NPI

Sandra Nairooz, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1144649815
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
29111 Issued in TX
Practice address
2907 N Loop 1604 E # 101
San Antonio, TX 78232-1718
Phone
(210) 905-9000
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29111 TX
General Practice Dentistry 1223G0001X 29111 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 29111 TX Primary

Addresses

Primary practice location

2907 N Loop 1604 E # 101
San Antonio, TX 78232-1718

Mailing address

2907 N Loop 1604 E # 101
San Antonio, TX 78232-1718
Phone (210) 905-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29111TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Braun 7To7 PLLC CurrentSince Aug 15, 2021 Accepting new patients
Sandra Nairooz PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Sep 17, 2023 Accepting new patients
Cibolo 7To7 PLLC PastSince Aug 15, 2021 Accepting new patients
Ortho 7To7 PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

10103 W Loop 1604 N
Ste 104
San Antonio, TX 78254
Phone (210) 493-4444

2907 N Loop 1604 E
Ste 101
San Antonio, TX 78232
Phone (210) 905-9000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1144649815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 N LOOP 1604 E # 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321718",
            "telephone_number": "210-905-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 N LOOP 1604 E # 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321718",
            "telephone_number": "210-905-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIROOZ",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29111",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29111",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "29111",
            "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 Sep 10, 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.