NPIMap

Organization Active NPI

Sunset Square PLLC

Doing business as Aqua Dental

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1225375058
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNSET SQUARE PLLC
Doing business as
Aqua Dental
Practice address
1530 Austin Hwy
Ste# 112
San Antonio, TX 78218-6060
Phone
(210) 824-7900
NPI assigned
Jan 14, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Harry Virk
Title
Managing Member
Phone
(210) 824-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1530 Austin Hwy
Ste# 112
San Antonio, TX 78218-6060

Mailing address

1530 Austin Hwy
Ste# 112
San Antonio, TX 78218-6060
Phone (210) 824-7900

Other names 1

  • Aqua Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1530 Austin Hwy
Ste 112
San Antonio, TX 78218
Phone (210) 824-7900

Practitioners & affiliated clinicians

Practitioners 2

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": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1225375058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 AUSTIN HWY",
            "address_2": "STE# 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782186060",
            "telephone_number": "210-824-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 AUSTIN HWY",
            "address_2": "STE# 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782186060",
            "telephone_number": "210-824-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SQUARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-824-7900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2013; 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.