Active NPI
Ellen Stice Nauert, DDS
- Dentist
- San Antonio, TX
National Provider Identifier
1245857424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36485
- Practice address
- 7703 Floyd Curl Dr
San Antonio, TX 78229-3901 - Phone
- (507) 315-2823
- NPI assigned
- Jul 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36485 | TX | Primary |
| Dentist | 122300000X | D14404 | MN | |
| Dentist | 122300000X | 0401418274 | VA |
Addresses
Primary practice location
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Mailing address
17206 Sable LNDG
San Antonio, TX 78232-4122
Phone (512) 627-8503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230628003720 | VA | Order and Referring Only - Dentist | 6901265628 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14404 | MN | MD | Dentist |
| 36485 | TX | MD | Dentist |
| 0401418274 | VA | MD | Dentist |
Interoperability endpoints
- enauert56877@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1245857424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17206 SABLE LNDG",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324122",
"telephone_number": "512-627-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "507-315-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUERT",
"first_name": "ELLEN",
"middle_name": "STICE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36485",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MN",
"license": "D14404",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418274",
"primary": false
}
],
"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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.