Organization Active NPI

Beverley J Bunn D.D.S., M.D.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1215228333
Registry record updated Apr 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19653 Issued in TX
Legal business name
BEVERLEY J BUNN D.D.S., M.D.S., P.A.
Practice address
7230 Briar PL
San Antonio, TX 78221-1600
Phone
(210) 921-9191
Fax
(210) 921-2408
NPI assigned
Apr 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2011

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

Authorized official

Name
Dr. Beverley J BunnNPI 1689855017
Title
Orthodontist/President
Phone
(806) 433-7777

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19653 TX Primary

Addresses

Primary practice location

7230 Briar PL
San Antonio, TX 78221-1600

Mailing address

1912 Victoria Cir
McKinney, TX 75070-2320
Phone (806) 433-7777

National Provider Directory

National Provider Directory

Locations

7230 Briar Pl
San Antonio, TX 78221
Phone (210) 921-9191

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303516800000",
    "number": "1215228333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 VICTORIA CIR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702320",
            "telephone_number": "806-433-7777",
            "fax_number": "469-247-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 BRIAR PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211600",
            "telephone_number": "210-921-9191",
            "fax_number": "210-921-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLEY J BUNN D.D.S., M.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-23",
        "last_updated": "2011-04-23",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORTHODONTIST/PRESIDENT",
        "authorized_official_telephone_number": "806-433-7777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19653",
            "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 Apr 23, 2011; 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.