NPIMap

Organization Active NPI

Castle Hills Family Dental

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1306173554
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17101 Issued in TX
Legal business name
CASTLE HILLS FAMILY DENTAL
Practice address
1931 NW Military Hwy
Suite 225
San Antonio, TX 78213-2153
Phone
(210) 732-4570
Fax
(210) 732-4572
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. Rafael Luis Mercado, D.D.SNPI 1376633479
Title
General Dentist/Owner
Phone
(210) 732-4570

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17101 TX Primary

Addresses

Primary practice location

1931 NW Military Hwy
Suite 225
San Antonio, TX 78213-2153

Mailing address

1931 NW Military Hwy
Suite 225
San Antonio, TX 78213-2153
Phone (210) 732-4570

Other identifiers 3

IdentifierTypeStateIssuer
180123502MedicaidTX
1376774851OtherTXNPI
136341809MedicaidTX

National Provider Directory

National Provider Directory

Locations

1931 NW Military Hwy
Ste 225
San Antonio, TX 78213
Phone (210) 732-4570

Practitioners & affiliated clinicians

Practitioners 2

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1306173554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW MILITARY HWY",
            "address_2": "SUITE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132153",
            "telephone_number": "210-732-4570",
            "fax_number": "210-732-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW MILITARY HWY",
            "address_2": "SUITE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132153",
            "telephone_number": "210-732-4570",
            "fax_number": "210-732-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE HILLS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "210-732-4570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180123502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376774851",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136341809",
            "state": "TX"
        }
    ],
    "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 18, 2014; 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.