Organization Active NPI

Dentist in San Antonio LLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1316763147
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTIST IN SAN ANTONIO LLC
Practice address
6028 Worth Pkwy Ste 101
San Antonio, TX 78257-5071
Phone
(803) 830-6881
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Authorized official

Name
Sunil R Eamani
Title
Manager
Phone
(803) 830-6881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6028 Worth Pkwy Ste 101
San Antonio, TX 78257-5071

Mailing address

6028 Worth Pkwy Ste 101
San Antonio, TX 78257-5071
Phone (803) 830-6881

Other names 1

  • The Rim Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

6028 Worth Pkwy
Ste 101
San Antonio, TX 78257
Phone (210) 691-3400

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1316763147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 WORTH PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782575071",
            "telephone_number": "803-830-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 WORTH PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782575071",
            "telephone_number": "803-830-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "EAMANI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-830-6881"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rim Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2025; 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.