Individual provider Active NPI

Juan R Hernandez, DMD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1285856906
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31785 Issued in TX
Practice address
18160 Hwy 281 North
Suite 104
San Antonio, TX 78232
Phone
(210) 495-7800
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052651 NY
General Practice Dentistry 1223G0001X 31785 TX Primary

Addresses

Primary practice location

18160 Hwy 281 North
Suite 104
San Antonio, TX 78232

Mailing address

29054 Axis VW
Boerne, TX 78006-9447
Phone (210) 975-8825

Other practice location 1

3753 91st St
Jackson Heights
Jackson Heights, NY 11372-7901
Phone (718) 205-4377

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
31785TXMDGeneral Practice Dentistry
052651NYMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Dental Spa General Practice PastSince Mar 12, 2024 Accepting new patients
Maria D. Herrera Dentistry, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1285856906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29054 AXIS VW",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069447",
            "telephone_number": "210-975-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18160 HWY 281 NORTH",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-495-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3753 91st St",
            "address_2": "Jackson Heights",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727901",
            "country_code": "US",
            "telephone_number": "718-205-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052651",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31785",
            "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 Mar 8, 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.