Active NPI
Perrin Beitel Renovo Dental, PLLC
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1366257149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.