Organization Active NPI

Kids World Pediatric Dentistry

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1295161818
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
26456 Issued in TX
Legal business name
KIDS WORLD PEDIATRIC DENTISTRY
Practice address
20711 Wilderness Oak
Sute 103
San Antonio, TX 78258-2640
Phone
(210) 787-1200
Fax
(210) 497-6077
NPI assigned
Sep 16, 2013
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Marielena Torres-Ricart, D.D.S.NPI 1922391861
Title
Owner/Dentist
Phone
(210) 787-1200

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 26456 TX Primary

Addresses

Primary practice location

20711 Wilderness Oak
Sute 103
San Antonio, TX 78258-2640

Mailing address

20711 Wilderness Oak
Sute 103
San Antonio, TX 78258-2640
Phone (210) 787-1200

National Provider Directory

National Provider Directory

Locations

20711 Wilderness Oak
Ste 103
San Antonio, TX 78258
Phone (210) 787-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1295161818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20711 WILDERNESS OAK",
            "address_2": "SUTE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582640",
            "telephone_number": "210-787-1200",
            "fax_number": "210-497-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20711 WILDERNESS OAK",
            "address_2": "SUTE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582640",
            "telephone_number": "210-787-1200",
            "fax_number": "210-497-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS WORLD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "TORRES-RICART",
        "authorized_official_first_name": "MARIELENA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-787-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26456",
            "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 Sep 16, 2013; 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.