Elder Dent of Texas, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27592 Issued in TX

Legal business name

ELDER DENT OF TEXAS, PLLC

Practice address

20079 Stone Oak Pkwy Ste 1105-436
San Antonio, TX 78258-6942

Phone

(502) 498-0093

Fax

(210) 881-6823

NPI assigned

Dec 9, 2013

Last updated

Jan 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Doane, DMD

Title

Owner

Phone

(502) 498-0093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1366873929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105-436",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "210-888-0119",
            "fax_number": "210-881-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105-436",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "502-498-0093",
            "fax_number": "210-881-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER DENT OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "DOANE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-498-0093",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elawabdeh, MD
• Sarah Elbayeh
• Samantha Jan Elbel
• Danielle Nicole Elbrecht, M.A., LPC
• Elder Care Behavioral Health Services PLLC
• Derek Hartley Elder, LPC
• Edward Carl Elder, OD
• Elizabeth Sterling Elder, LCSW
• Jessica Elder
• William Elder, PH.D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.