Organization Active NPI

Novel Care Dental, PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1215327143
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25637 Issued in TX
Legal business name
NOVEL CARE DENTAL, PLLC
Practice address
4727 Manitou
San Antonio, TX 78228-1112
Phone
(210) 681-5272
Fax
(210) 681-5273
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Oscar Mario Martinez III, DDS
Title
Manager
Phone
(210) 400-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 25637 TX Primary

Addresses

Primary practice location

4727 Manitou
San Antonio, TX 78228-1112

Mailing address

4727 Manitou
San Antonio, TX 78228-1112
Phone (210) 681-5272

National Provider Directory

National Provider Directory

Locations

4727 Manitou
San Antonio, TX 78228
Phone (210) 681-5272

Practitioners & affiliated clinicians

Practitioners 1

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": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1215327143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 MANITOU",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281112",
            "telephone_number": "210-681-5272",
            "fax_number": "210-681-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 MANITOU",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281112",
            "telephone_number": "210-681-5272",
            "fax_number": "210-681-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL CARE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-400-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25637",
            "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 Mar 18, 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.