Mark a. Cavazos, D.D.S., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15230 Issued in TX

Legal business name

MARK A. CAVAZOS, D.D.S., PLLC

Practice address

3414 Roosevelt Ave
San Antonio, TX 78214-2606

Phone

(210) 924-5008

Fax

(210) 924-5326

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Cavazos, DDS

Title

Owner Physician

Phone

(210) 924-5008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1316178684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606",
            "telephone_number": "210-924-5008",
            "fax_number": "210-924-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606",
            "telephone_number": "210-924-5008",
            "fax_number": "210-924-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. CAVAZOS, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "210-924-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marium Steele, M.D., P.a.
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• Marjorie F. Lopez
• Mark a Hinton, MD PLLC
• Mark a Rodriguez MD, PA
• Mark a. Isaeff, MD PA
• Mark a. Melish, M.D., P.a.
• Mark a. Slosar O.D. PLLC
• Mark B Weinstein, M.D.,P.a.
• Mark Drogin, M.D. P.a.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.