Organization Active NPI

Huebner Smiles Dentistry and Orthodontics PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1194278549
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30464 Issued in TX
Legal business name
HUEBNER SMILES DENTISTRY AND ORTHODONTICS PLLC
Practice address
12055 Vance Jackson Rd
Suite 103
San Antonio, TX 78230-6058
Phone
(210) 568-2800
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Melanie A Navarro, DDS
Title
Owner
Phone
(210) 568-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30464 TX Primary

Addresses

Primary practice location

12055 Vance Jackson Rd
Suite 103
San Antonio, TX 78230-6058

Mailing address

12055 Vance Jackson Rd
Suite 103
San Antonio, TX 78230-6058
Phone (210) 568-2800

National Provider Directory

National Provider Directory

Locations

12055 Vance Jackson Rd
Ste 103
San Antonio, TX 78230
Phone (210) 568-2800

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1194278549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 VANCE JACKSON RD",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782306058",
            "telephone_number": "210-568-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 VANCE JACKSON RD",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782306058",
            "telephone_number": "210-568-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEBNER SMILES DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-568-2800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30464",
            "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 Sep 29, 2016; 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.