Individual provider Active NPI

Vanessa Frances Bednarik, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1245228535
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25082 Issued in TX
Practice address
12710 W Ih 10 Ste 120
San Antonio, TX 78230-1002
Phone
(210) 836-9920
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7922 KY
General Practice Dentistry 1223G0001X 052499 NY
Dentist 122300000X 25082 TX Primary

Addresses

Primary practice location

12710 W Ih 10 Ste 120
San Antonio, TX 78230-1002

Mailing address

430 W Loop 1604 N Ste 109
San Antonio, TX 78251-3343
Phone (210) 566-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7922KYMDDentist
25082TXMDDentist
052499NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1245228535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W LOOP 1604 N STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513343",
            "telephone_number": "210-566-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 W IH 10 STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301002",
            "telephone_number": "210-836-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARIK",
        "first_name": "VANESSA",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052499",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25082",
            "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 Feb 14, 2021; 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.