Organization Active NPI

Rosewood Dental

  • Public Health Dentistry
  • San Antonio, TX
National Provider Identifier
1265802011
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
ROSEWOOD DENTAL
Practice address
7300 Blanco Rd Ste 503
San Antonio, TX 78216-4941
Phone
(863) 513-0752
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Rachel Thi Nguyen, DMDNPI 1063796845
Title
Owner
Phone
(863) 513-0752

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
Public Health Dentistry 1223D0001X Primary

Addresses

Primary practice location

7300 Blanco Rd Ste 503
San Antonio, TX 78216-4941

Mailing address

7300 Blanco Rd Ste 503
San Antonio, TX 78216-4941
Phone (210) 494-7658

Other identifiers 1

IdentifierTypeStateIssuer
284073802MedicaidTX

National Provider Directory

National Provider Directory

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": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1265802011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 BLANCO RD STE 503",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164941",
            "telephone_number": "210-494-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BLANCO RD STE 503",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164941",
            "telephone_number": "863-513-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-513-0752",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284073802",
            "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 May 6, 2024; 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.