Active NPI
Emanuel Joseph Staes, D.D.S.
- Dentist
- San Antonio, TX
National Provider Identifier
1336495738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28289
- Practice address
- 1546 Babcock Rd Ste 105
San Antonio, TX 78229-4724 - Phone
- (210) 920-8481
- NPI assigned
- Aug 3, 2012
- Last updated
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28289 | TX | Primary |
Addresses
Primary practice location
1546 Babcock Rd Ste 105
San Antonio, TX 78229-4724
Mailing address
1512 Nighthawk Dr
Little Elm, TX 75068-8474
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28289 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa Dental, PLLC | Past | 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": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1336495738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 NIGHTHAWK DR",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750688474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1546 BABCOCK RD STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294724",
"telephone_number": "210-920-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAES",
"first_name": "EMANUEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28289",
"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 Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.