Leon Springs Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

19394 Issued in TX

Legal business name

LEON SPRINGS FAMILY DENTAL

Practice address

24165 W Ih 10 Ste 210
San Antonio, TX 78257-1160

Phone

(210) 698-0610

Fax

(210) 698-0631

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Wendy Marroquin

Title

Office Manager

Phone

(210) 698-0610

Specialties & licenses 1

Addresses

Tax ID family

Cherie S Kozelsky DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cherie S. Kozelsky, D.D.S., P.a.

  dba Leon Springs Family Dental

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1821281247
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cherie S. Kozelsky, D.D.S., P.a.

  dba Leon Springs Family Dental

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1821281247
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cherie S. Kozelsky, D.D.S, P.A.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1710024260
  NPD (past)
• Timothy W. Kozelsky, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1669519120
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1346644549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W IH 10",
            "address_2": "SUITE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571159",
            "telephone_number": "210-698-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 W IH 10 STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-698-0610",
            "fax_number": "210-698-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON SPRINGS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "MARROQUIN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-698-0610"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Lenzy
• Leo K. Edwards Jr
• Christian Fabian Leon Norena
• Leon Springs 7To7 PLLC (7To7 Dental & Orthodontics)
• Leon Springs Dental Center, PA
• Leon Springs Family Practice, PA
• Leon Springs Modern Dentistry, PC (Leon Springs Modern Dentistry)
• Leon Springs Orthodontics PA (Ferris Orthodontics)
• Leon Springs Pas LLC
• Leon Springs Primary Care PLLC (Leon Springs Obesity Medicine)

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.