Active NPI
Natasha Impink-Hernandez, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1154844058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33048
- Practice address
- 11010 W FM 471 Ste 104
San Antonio, TX 78253-4991 - Phone
- (210) 688-9386
- NPI assigned
- Jul 23, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33048 | TX | Primary |
Addresses
Primary practice location
11010 W FM 471 Ste 104
San Antonio, TX 78253-4991
Mailing address
5858 Bowsprit St
San Antonio, TX 78242-3245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171115000930 | TX | Order and Referring Only - Dentist | 3779849369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33048 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500768000000",
"number": "1154844058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5858 BOWSPRIT ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782423245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 W FM 471 STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534991",
"telephone_number": "210-688-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMPINK-HERNANDEZ",
"first_name": "NATASHA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-23",
"last_updated": "2017-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33048",
"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 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.