Individual provider Active NPI

Peter Christian Mailhot, DMD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1316476351
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041302 Issued in PA
Practice address
6565 Babcock Rd Ste 1
San Antonio, TX 78249-2345
Phone
(210) 904-2888
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 DS041302 PA Primary

Addresses

Primary practice location

6565 Babcock Rd Ste 1
San Antonio, TX 78249-2345

Mailing address

6565 Babcock Rd Ste 1
San Antonio, TX 78249-2345
Phone (210) 904-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS041302PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Babcock Dental Partners, PLLC PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1316476351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 BABCOCK RD STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492345",
            "telephone_number": "210-904-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 BABCOCK RD STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492345",
            "telephone_number": "210-904-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILHOT",
        "first_name": "PETER",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041302",
            "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 Dec 16, 2024; 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.