NPIMap

Organization Active NPI

Seguin Children's Dentistry, PA

  • Pediatric Dentistry
  • Seguin, TX
National Provider Identifier
1326456229
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21621 Issued in TX
Legal business name
SEGUIN CHILDREN'S DENTISTRY, PA
Practice address
128 S Moss St Ste 200
Seguin, TX 78155-5127
Phone
(830) 372-5437
Fax
(830) 372-8950
NPI assigned
Jul 24, 2014
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Esteban Velez, DDSNPI 1295899516
Title
President
Phone
(830) 372-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 21621 TX Primary

Addresses

Primary practice location

128 S Moss St Ste 200
Seguin, TX 78155-5127

Mailing address

128 S Moss St Ste 200
Seguin, TX 78155-5127

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Records@seguincd.com Direct

National Provider Directory

National Provider Directory

Locations

128 S Moss St
Ste 200
Seguin, TX 78155
Phone (830) 372-5437

Interoperability endpoints

  • Direct secure messaging: records@seguincd.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1326456229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S MOSS ST STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S MOSS ST STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555127",
            "telephone_number": "830-372-5437",
            "fax_number": "830-372-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUIN CHILDREN'S DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-372-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Records@seguincd.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "128 S Moss St Ste 200",
            "city": "Seguin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781555127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.