Organization Active NPI

Babcock Modern Dentistry, PC

Doing business as Babcock Modern Dentistry

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1174443469
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BABCOCK MODERN DENTISTRY, PC
Doing business as
Babcock Modern Dentistry
Practice address
15031 Babcock Rd Ste 160
San Antonio, TX 78249-1065
Phone
(726) 222-9431
Fax
(726) 207-2601
NPI assigned
Jul 17, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Roberto A Benavides, DDS
Title
Owner
Phone
(726) 222-9431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

15031 Babcock Rd Ste 160
San Antonio, TX 78249-1065

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8701

Other names 1

  • Babcock Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15031 Babcock Rd
Ste 160
San Antonio, TX 78249

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1174443469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8701",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 BABCOCK RD STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491065",
            "telephone_number": "726-222-9431",
            "fax_number": "726-207-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABCOCK MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-222-9431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Babcock Modern Dentistry",
            "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 Jul 17, 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.