Active NPI
Elite Endodontics, P.C.
- Endodontics
- San Antonio, TX
National Provider Identifier
1366746596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 051276-1
- Legal business name
- ELITE ENDODONTICS, P.C.
- Practice address
- 11901 Toepperwein Road
Suite 902
San Antonio, TX 78233-3161 - Phone
- (210) 599-9900
- Fax
- (210) 599-9504
- NPI assigned
- Jan 3, 2011
- 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
- Dr. Karriem Robert Thurman, DDS
- Title
- Owner/Dentist
- Phone
- (210) 599-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 051276-1 | NY | Primary |
Addresses
Primary practice location
11901 Toepperwein Road
Suite 902
San Antonio, TX 78233-3161
Mailing address
11901 Toepperwein Road
Suite 902
San Antonio, TX 78233-3161
Phone (210) 599-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952513616 | Other | NJ | NPPES |
National Provider Directory
National Provider DirectoryLocations
11901 Toepperwein Rd
Ste 902
Live Oak, TX 78233
Phone (210) 651-3233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1366746596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 TOEPPERWEIN ROAD",
"address_2": "SUITE 902",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782333161",
"telephone_number": "210-599-9900",
"fax_number": "210-599-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 TOEPPERWEIN ROAD",
"address_2": "SUITE 902",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782333161",
"telephone_number": "210-599-9900",
"fax_number": "210-599-9504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE ENDODONTICS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "THURMAN",
"authorized_official_first_name": "KARRIEM",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "210-599-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "051276-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1952513616",
"state": "NJ"
}
],
"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 Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.