Organization Active NPI

Sammy Smiles

Doing business as potranco family dental

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1164602991
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21582 Issued in TX
Legal business name
SAMMY SMILES
Doing business as
potranco family dental
Practice address
10730 Potranco Rd Ste 111
San Antonio, TX 78251-3330
Phone
(210) 509-8400
Fax
(210) 509-8404
NPI assigned
Nov 8, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mrs. Leah Saltzman
Title
General Manager
Phone
(210) 509-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21582 TX Primary

Addresses

Primary practice location

10730 Potranco Rd Ste 111
San Antonio, TX 78251-3330

Mailing address

10730 Potranco Rd Ste 111
San Antonio, TX 78251-3330
Phone (210) 509-8400

Other names 1

  • potranco family dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1164602991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513330",
            "telephone_number": "210-509-8400",
            "fax_number": "210-509-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513330",
            "telephone_number": "210-509-8400",
            "fax_number": "210-509-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SALTZMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "210-509-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "potranco family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2007; 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.