De Zavala Dentistry and Orthodontics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DE ZAVALA DENTISTRY AND ORTHODONTICS PLLC

Practice address

5230 De Zavala Rd Ste 225
San Antonio, TX 78249-1731

Phone

(210) 696-0667

NPI assigned

Sep 4, 2018

Last updated

May 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jenna-Leigh Stamper, DMD

  • General Practice Dentistry
  • Houston, TX
  • NPI 1215551635
  NPD
• Maria Wright, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1780130161
  NPD (past)
• Yuliya P. Zebrowski, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1275760613
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1205318441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 DE ZAVALA RD STE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491731",
            "telephone_number": "210-696-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 DE ZAVALA RD STE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491731",
            "telephone_number": "210-696-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ZAVALA DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor De Spain
• Cynthia De Veaux
• Manuel Ronald Biangco De Vera, PT
• Sharlene Dela Cruz De Vera, RN
• Sabina Remmers De Vries, LPC
• De Zavala Medical Center
• De Zavala Modern Dentistry, PC (De Zavala Modern Dentistry)
• De Zavala Precision Smile Structure
• Ron Deage, M.A.,LPC,LCDC,LMFT
• Samuel Thomas Deahl II, DMD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.