Active NPI
Daniel Eduardo San Martin, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
National Provider Identifier
1154617868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 24781
- Practice address
- 1036 E Borgfeld Dr Ste 1
San Antonio, TX 78260-1630 - Phone
- (210) 404-9020
- Fax
- (210) 481-1622
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24781 | TX | Primary |
Addresses
Primary practice location
1036 E Borgfeld Dr Ste 1
San Antonio, TX 78260-1630
Mailing address
1036 E Borgfeld Dr Ste 1
San Antonio, TX 78260-1630
Phone (210) 392-2321
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24781 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1154617868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 E BORGFELD DR STE 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782601630",
"telephone_number": "210-392-2321",
"fax_number": "210-481-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 E BORGFELD DR STE 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782601630",
"telephone_number": "210-404-9020",
"fax_number": "210-481-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN MARTIN",
"first_name": "DANIEL",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "24781",
"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 Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.