Organization Active NPI

Philip B. Miner DDS, PA

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1225655806
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHILIP B. MINER DDS, PA
Practice address
1100 NW Loop 410 Ste 825
San Antonio, TX 78213-2259
Phone
(210) 934-5265
Fax
(210) 341-2919
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. Philip B Miner, DDSNPI 1952497174
Title
President/DDS
Phone
(210) 341-5665

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1100 NW Loop 410 Ste 825
San Antonio, TX 78213-2259

Mailing address

1100 NW Loop 410 Ste 825
San Antonio, TX 78213-2259
Phone (210) 341-5665

Other identifiers 2

IdentifierTypeStateIssuer
1952497174OtherTXOTHER
1952497174OtherTXNPPES

National Provider Directory

National Provider Directory

Locations

1100 NW Loop 410
Ste 825
San Antonio, TX 78213
Phone (210) 341-5665

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": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1225655806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 825",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132259",
            "telephone_number": "210-341-5665",
            "fax_number": "210-341-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 825",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132259",
            "telephone_number": "210-934-5265",
            "fax_number": "210-341-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B. MINER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/DDS",
        "authorized_official_telephone_number": "210-341-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1952497174",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1952497174",
            "state": "TX"
        }
    ],
    "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 Sep 8, 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.