Organization Active NPI

Boerne Endodontics PLLC

  • Endodontics
  • Boerne, TX
National Provider Identifier
1366246308
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BOERNE ENDODONTICS PLLC
Doing business as
Harkrider Endodontics
Practice address
138 Old San Antonio Rd Ste 501
Boerne, TX 78006-3492
Phone
(830) 431-9205
Fax
(830) 331-2134
NPI assigned
Apr 1, 2025
Organization subpart
Yes
Parent organization
BOERNE ENDODONTICS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tess M Bates
Title
Office Manager
Phone
(830) 431-9205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

138 Old San Antonio Rd Ste 501
Boerne, TX 78006-3492

Mailing address

138 Old San Antonio Rd Ste 501
Boerne, TX 78006-3492
Phone (830) 431-9205

Other names 1

  • Harkrider Endodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Boerne Endodontics PLLC

Locations

138 Old San Antonio Rd
Ste 501
Boerne, TX 78006
Phone (830) 431-9205

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1366246308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 501",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063492",
            "telephone_number": "830-431-9205",
            "fax_number": "830-331-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 OLD SAN ANTONIO RD STE 501",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063492",
            "telephone_number": "830-431-9205",
            "fax_number": "830-331-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE ENDODONTICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOERNE ENDODONTICS PLLC",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "TESS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-431-9205"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harkrider Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.