Organization Active NPI

Alamo Heights Dermatology PA

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1285961847
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ALAMO HEIGHTS DERMATOLOGY PA
Practice address
131 W Sunset Rd Ste 101
San Antonio, TX 78209-2797
Phone
(210) 255-8447
Fax
(210) 255-8446
NPI assigned
Nov 3, 2009
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mrs. Brenda Carrasco
Title
Office Manager
Phone
(210) 255-8447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

131 W Sunset Rd Ste 101
San Antonio, TX 78209-2797

Mailing address

131 W Sunset Rd Ste 101
San Antonio, TX 78209-2797
Phone (210) 255-8447

Other practice location 1

121 Bulverde Crossing Rd Ste 110
Bulverde, TX 78163-6201
Phone (830) 380-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100315000155 TX Part B Supplier - Clinic/Group Practice 6608901871 Receives reassigned benefits from 7 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

414 W Sunset Rd
Ste 210
San Antonio, TX 78209
Phone (210) 255-8447

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDBIAA

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1285961847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W SUNSET RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092797",
            "telephone_number": "210-255-8447",
            "fax_number": "210-255-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W SUNSET RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092797",
            "telephone_number": "210-255-8447",
            "fax_number": "210-255-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Bulverde Crossing Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bulverde",
            "state": "TX",
            "postal_code": "781636201",
            "country_code": "US",
            "telephone_number": "830-380-3031",
            "fax_number": "210-255-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAMO HEIGHTS DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-255-8447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.