NPIMap

Organization Active NPI

Olmito Family Dentistry

  • General Practice Dentistry
  • Olmito, TX
National Provider Identifier
1154791846
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26262 Issued in TX
Legal business name
OLMITO FAMILY DENTISTRY
Practice address
7097 N Expressway 77
Suite 10
Olmito, TX 78575-9807
Phone
(830) 328-6310
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Gonzalo Braunthal, DMDNPI 1306144480
Title
Owner / General Dentist
Phone
(830) 328-6310

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
General Practice Dentistry 1223G0001X 26262 TX Primary

Addresses

Primary practice location

7097 N Expressway 77
Suite 10
Olmito, TX 78575-9807

Mailing address

7097 N Expressway 77
Suite 10
Olmito, TX 78575-9807
Phone (830) 328-6310

National Provider Directory

National Provider Directory

Locations

7097 N Expressway 77
Ste 10
Olmito, TX 78575
Phone (830) 328-6310

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1154791846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7097 N EXPRESSWAY 77",
            "address_2": "SUITE 10",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759807",
            "telephone_number": "830-328-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7097 N EXPRESSWAY 77",
            "address_2": "SUITE 10",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759807",
            "telephone_number": "830-328-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMITO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "BRAUNTHAL",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER / GENERAL DENTIST",
        "authorized_official_telephone_number": "830-328-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olmito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.