Organization Active NPI

Little Teeth of Texas Dentistry for Children PA

Doing business as Little Teeth of Texas

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1346257276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21204 Issued in TX
Legal business name
LITTLE TEETH OF TEXAS DENTISTRY FOR CHILDREN PA
Doing business as
Little Teeth of Texas
Practice address
21714 Hardy Oak Blvd
Ste 102
San Antonio, TX 78258
Phone
(210) 497-8787
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shawna Marie Billick-Gerling, DDSNPI 1508382565
Title
Pedicatric Dentist
Phone
(210) 497-8787

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 21204 TX Primary

Addresses

Primary practice location

21714 Hardy Oak Blvd
Ste 102
San Antonio, TX 78258

Mailing address

21714 Hardy Oak Blvd
Ste 102
San Antonio, TX 78258-4838
Phone (210) 497-8787

Other names 1

  • Little Teeth of Texas Doing business as

National Provider Directory

National Provider Directory

Locations

21714 Hardy Oak Blvd
Ste 102
San Antonio, TX 78258
Phone (210) 479-7000

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346257276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21714 HARDY OAK BLVD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584838",
            "telephone_number": "210-497-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21714 HARDY OAK BLVD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-497-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TEETH OF TEXAS DENTISTRY FOR CHILDREN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILLICK-GERLING",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDICATRIC DENTIST",
        "authorized_official_telephone_number": "210-497-8787",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Teeth of Texas",
            "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 Aug 22, 2020; 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.