Organization Active NPI

S. Texas Ortho PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1144876194
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
S. TEXAS ORTHO PLLC
Practice address
21970 Bulverde Rd Ste 100
San Antonio, TX 78259-2179
Phone
(210) 493-6067
NPI assigned
Aug 15, 2019
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Victoria Johnson
Title
Cro
Phone
(941) 444-0559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

21970 Bulverde Rd Ste 100
San Antonio, TX 78259-2179

Mailing address

21970 Bulverde Rd Ste 100
San Antonio, TX 78259-2179
Phone (210) 493-6067

Other practice location 1

3820 Fm 3009 Ste 180
Schertz, TX 78154-2724
Phone (210) 658-1778

Other practice location 2

15900 La Cantera Pkwy Ste 20260
San Antonio, TX 78256-2471
Phone (210) 549-0383

Other practice location 3

7629 Tezel Rd
San Antonio, TX 78250-3574
Phone (210) 509-2487

National Provider Directory

National Provider Directory

Locations

15900 La Cantera Pkwy
Ste 20260
San Antonio, TX 78256
Phone (210) 549-0383

21970 Bulverde Rd
Ste 100
San Antonio, TX 78259
Phone (210) 496-7846

7629 Tezel Rd
San Antonio, TX 78250
Phone (210) 509-2487

3820 FM 3009
Ste 180
Schertz, TX 78154
Phone (210) 658-1778

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": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1144876194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21970 BULVERDE RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592179",
            "telephone_number": "210-493-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21970 BULVERDE RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592179",
            "telephone_number": "210-493-6067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Fm 3009 Ste 180",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781542724",
            "country_code": "US",
            "telephone_number": "210-658-1778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15900 La Cantera Pkwy Ste 20260",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782562471",
            "country_code": "US",
            "telephone_number": "210-549-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7629 Tezel Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503574",
            "country_code": "US",
            "telephone_number": "210-509-2487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S. TEXAS ORTHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0559"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "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 Jul 21, 2026; 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.