Csdmd PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CSDMD PLLC

Doing business as

Timberwood Dental

Practice address

502 E Borgfeld Dr Ste 101
San Antonio, TX 78260-1669

Phone

(830) 222-6366

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Cody Spencer, DMDNPI 1326530882

Title

Owner/Dentist

Phone

(801) 721-3164

Specialties & licenses 1

Addresses

Other names 1

• Timberwood Dental Doing business as

Locations

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.

• Cody Spencer, DMD

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1326530882
  NPD Authorized official

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1184492639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E BORGFELD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601669",
            "telephone_number": "830-222-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E BORGFELD DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601669",
            "telephone_number": "830-222-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSDMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-721-3164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberwood Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timberwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.