Organization Active NPI

Flour Bluff Dental PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1306211735
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25968 Issued in TX
Legal business name
FLOUR BLUFF DENTAL PLLC
Practice address
1431 Palo Alto Rd
San Antonio, TX 78211
Phone
(281) 328-4900
NPI assigned
Dec 10, 2015
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Dr. Geetika Rastogi
Title
Owner
Phone
(832) 369-6941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25968 TX Primary

Addresses

Primary practice location

1431 Palo Alto Rd
San Antonio, TX 78211

Mailing address

3838 N Sam Houston Pkwy E Ste 430
Houston, TX 77032-3418
Phone (832) 369-6941

National Provider Directory

National Provider Directory
Tax ID family
Flour Bluff Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1431 Palo Alto Rd
San Antonio, TX 78211

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1306211735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323418",
            "telephone_number": "832-369-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PALO ALTO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78211",
            "telephone_number": "281-328-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOUR BLUFF DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "GEETIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-369-6941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25968",
            "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, 2022; 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.