Organization Active NPI

Elite Endodontics, P.C.

  • Endodontics
  • San Antonio, TX
National Provider Identifier
1366746596
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
051276-1 Issued in NY
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

Updated by the provider on Jan 3, 2011

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1952513616OtherNJNPPES

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.