Pleasanton Children'S Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24255 Issued in TX

Legal business name

PLEASANTON CHILDREN'S DENTISTRY

Practice address

800 N Bryant St
Pleasanton, TX 78064-2550

Phone

(830) 772-4200

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Joanna Ayala

Title

Owner

Phone

(210) 632-4560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1376909473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N BRYANT ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780642550",
            "telephone_number": "830-772-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTON CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-632-4560"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Ortiz
• Sue Ann Owens, OT
• Krystina Pacheco, MA, LSSP
• Jorie Pawelek
• Gloria Pena
• Pleasanton Dental Care
• Pleasanton Family Medicine PLLC
• Pleasanton Isd
• Pleasanton Nursing and Rehab Center LLC
• Gabrielle Ponessa, CFY-SLP

• Pediatric Dentistry in Pleasanton, TX
• Providers in Pleasanton, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.