Individual provider Active NPI

Francisco Portillo Ramos, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1295805505
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16870 Issued in TX
Practice address
11230 West Ave
Ste. 3205
San Antonio, TX 78213-1350
Phone
(210) 524-9866
Fax
(210) 497-2599
NPI assigned
Nov 8, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16870 TX Primary

Addresses

Primary practice location

11230 West Ave
Ste. 3205
San Antonio, TX 78213-1350

Mailing address

11230 West Ave Ste 3205
San Antonio, TX 78213-1389
Phone (210) 524-9866

Other identifiers 3

IdentifierTypeStateIssuer
793997OtherTXUNITED CONCORDIA
126740302MedicaidTX
B167801OtherTXTEXAS CHIP DENTAL SERVICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001257 TX Order and Referring Only - DentistPractitioner - Dentist 4688967789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16870TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1295805505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 WEST AVE STE 3205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131389",
            "telephone_number": "210-524-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 WEST AVE",
            "address_2": "STE. 3205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131350",
            "telephone_number": "210-524-9866",
            "fax_number": "210-497-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "FRANCISCO",
        "middle_name": "PORTILLO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "793997",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126740302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP DENTAL SERVICE",
            "identifier": "B167801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.