Active NPI
Bulverde Dental Specialist PLLC
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1295344679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BULVERDE DENTAL SPECIALIST PLLC
- Practice address
- 22103 Bulverde Rd Ste 108
San Antonio, TX 78259-1855 - Phone
- (210) 907-8666
- NPI assigned
- Jul 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yunhan Ding, DDS
- Title
- Operating Member
- Phone
- (210) 867-7489
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
22103 Bulverde Rd Ste 108
San Antonio, TX 78259-1855
Mailing address
22103 Bulverde Rd Ste 108
San Antonio, TX 78259-1855
Other names 1
- Smiles of Bulverde
National Provider Directory
National Provider DirectoryLocations
22103 Bulverde Rd
Ste 108
San Antonio, TX 78259
Phone (210) 907-8666
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": "1596067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596067200000",
"number": "1295344679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22103 BULVERDE RD STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782591855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22103 BULVERDE RD STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782591855",
"telephone_number": "210-907-8666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BULVERDE DENTAL SPECIALIST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A",
"authorized_official_last_name": "DING",
"authorized_official_first_name": "YUNHAN",
"authorized_official_title_or_position": "OPERATING MEMBER",
"authorized_official_telephone_number": "210-867-7489",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiles of Bulverde",
"code": "3",
"type": "Doing Business As"
}
]
}
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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.