Organization Active NPI

Perrin Beitel Renovo Dental, PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1366257149
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERRIN BEITEL RENOVO DENTAL, PLLC
Practice address
12012 Perrin Beitel Rd Ste 101
San Antonio, TX 78217-2116
Phone
(210) 729-0213
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Craig Fleming Copeland, DMD
Title
Owner/Dentist
Phone
(940) 220-7833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12012 Perrin Beitel Rd Ste 101
San Antonio, TX 78217-2116

Mailing address

5800 N Interstate 35 Ste 205
Denton, TX 76207-1438
Phone (940) 220-7833

National Provider Directory

National Provider Directory

Locations

12012 Perrin Beitel Rd
Ste 101
San Antonio, TX 78217
Phone (210) 729-0213

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1366257149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 PERRIN BEITEL RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172116",
            "telephone_number": "210-729-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRIN BEITEL RENOVO DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 10, 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.