Perrin Beitel Dental, PC

Primary specialty

DentistTaxonomy code 122300000X

License

8923 Issued in TX

Legal business name

PERRIN BEITEL DENTAL, PC

Practice address

4158 Swan'S Landing
San Antonio, TX 78217

Phone

(210) 655-4867

NPI assigned

Aug 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Alfred G Bradford Jr., D.D.S.

Title

President

Phone

(210) 655-4867

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendolyn Bradford Taylor, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1831602796

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1205202512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 SWAN'S LANDING",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-655-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4158 SWAN'S LANDING",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-655-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRIN BEITEL DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-655-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "8923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Elyse Perotti, RN IBCLC
• Peter Timothy Perretta, M.D.
• Catherine Renee Perri, LCSW
• Alice Perrier
• Briana Perrier
• Perrin Beitel Family Dentistry, PLLC
• Perrin Beitel Medical Clinic
• Perrin Beitel Renovo Dental, PLLC
• Diane Michelle Perritano, MD
• Chavernay Perron, APRN- FNP

• 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 Aug 20, 2015; 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.