Individual provider Active NPI

Jeff Paz, D.D.S.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1326355637
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0025982 Issued in TX
Practice address
2000 SE Loop 410 Ste 125
San Antonio, TX 78220-4925
Phone
(210) 648-0996
Fax
(210) 648-0868
NPI assigned
Sep 8, 2010
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0025982 TX Primary

Addresses

Primary practice location

2000 SE Loop 410 Ste 125
San Antonio, TX 78220-4925

Mailing address

6300 West Loop S Ste 650
Bellaire, TX 77401-2997
Phone (713) 663-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 23, 2015 through Jun 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0025982TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paz Dental Group Dentist Current Accepting new patients
Paz Dental Group Current Accepting new patients
Brident Dental Associates PC Dentist Past Accepting new patients
South Texas Dental Associates, L.P. Past Accepting new patients
JDC DDS, PLLC Past Accepting new patients

Locations

13725 Northwest Blvd
Ste 220
Corpus Christi, TX 78410
Phone (956) 414-3575

6131 Luther Ln
Ste 208
Dallas, TX 75225
Phone (214) 764-7008

4336 N McColl Rd
McAllen, TX 78504
Phone (956) 414-3575

6868 San Pedro Ave
San Antonio, TX 78216
Phone (210) 454-2232

Organizations & group practices 5

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1326355637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012997",
            "telephone_number": "713-663-7960",
            "fax_number": "713-349-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE LOOP 410 STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782204925",
            "telephone_number": "210-648-0996",
            "fax_number": "210-648-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0025982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.