Roberto Issac Cortez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27043 Issued in TX

Practice address

3454 Roosevelt Avenue
San Antonio, TX 78214

Phone

(210) 572-2385

NPI assigned

Jun 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precision Smile Structure Mission

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1659801397
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1235425463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 VANDERHECK ST APT 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094046",
            "telephone_number": "210-262-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 ROOSEVELT AVENUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78214",
            "telephone_number": "210-572-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "ROBERTO",
        "middle_name": "ISSAC",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Cortez
• Michelle Cortez, RN
• Norma Ashley Cortez
• Ray Valadez Cortez, M.D.
• Rebecca Cortez
• Roxana Cortez, OTR
• Samantha Elizabeth Cortez
• Sandra Cortez
• Sandra Ann Cortez, DDS
• Vivian Annette Cortez

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.