NPIMap

Organization Active NPI

TX DDS Alliance - Marbella, LLC

Doing business as Marbella Dentistry

  • Dental Clinic/Center
  • Cibolo, TX
National Provider Identifier
1225678956
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TX DDS ALLIANCE - MARBELLA, LLC
Doing business as
Marbella Dentistry
Practice address
791 FM 1103 Ste 119
Cibolo, TX 78108-3673
Phone
(312) 882-4484
NPI assigned
Jan 10, 2020
Organization subpart
Yes
Parent organization
TX DDS ALLIANCE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Dr. Bryan Stimmler, DDS
Title
Owner
Phone
(210) 774-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

791 FM 1103 Ste 119
Cibolo, TX 78108-3673

Mailing address

791 FM 1103 Ste 119
Cibolo, TX 78108-3673
Phone (312) 882-4484

Other names 1

  • Marbella Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TX DDS Alliance - Marbella LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1225678956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FM 1103 STE 119",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083673",
            "telephone_number": "312-882-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FM 1103 STE 119",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083673",
            "telephone_number": "312-882-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX DDS ALLIANCE - MARBELLA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TX DDS ALLIANCE LLC",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "STIMMLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-774-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marbella Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marbella Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.