Organization Active NPI

Sabal Dental Bay Area PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1205558806
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SABAL DENTAL BAY AREA PLLC
Practice address
1200 Santa Fe St
Corpus Christi, TX 78404-2339
Phone
(361) 887-6093
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Valerie Drake, DDSNPI 1023091030
Title
Member
Phone
(956) 245-2766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1200 Santa Fe St
Corpus Christi, TX 78404-2339

Mailing address

2319 E Tyler Ave
Harlingen, TX 78550-7384

National Provider Directory

National Provider Directory

Locations

1200 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 887-6093

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1205558806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042339",
            "telephone_number": "361-887-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABAL DENTAL BAY AREA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-245-2766",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.