Organization Active NPI

Wunderbar, Inc

  • Voluntary or Charitable Agency
  • New Braunfels, TX
National Provider Identifier
1326203357
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
WUNDERBAR, INC
Doing business as
TEJAS SMILES
Practice address
652 N Houston Ave Ste I
New Braunfels, TX 78130-4122
Phone
(830) 624-7300
Fax
(830) 626-3100
NPI assigned
Jul 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Olaf J.a.S. Haerens, D.D.S.
Title
Vice President
Phone
(830) 626-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

652 N Houston Ave Ste I
New Braunfels, TX 78130-4122

Mailing address

PO Box 311059
New Braunfels, TX 78131-1059
Phone (830) 625-6916

Other names 1

  • TEJAS SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

652 N Houston Ave
Ste I
New Braunfels, TX 78130
Phone (830) 624-7300

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1326203357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311059",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311059",
            "telephone_number": "830-625-6916",
            "fax_number": "830-625-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N HOUSTON AVE STE I",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304122",
            "telephone_number": "830-624-7300",
            "fax_number": "830-626-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUNDERBAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "HAERENS",
        "authorized_official_first_name": "OLAF",
        "authorized_official_middle_name": "J.A.S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "830-626-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEJAS SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.