Peter Serna, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35261 Issued in TX

Practice address

5820 Walzem Rd
Windcrest, TX 78218-2109

Phone

(210) 375-3395

NPI assigned

Jun 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1386205284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "POTH",
            "state": "TX",
            "postal_code": "781470002",
            "telephone_number": "830-534-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182109",
            "telephone_number": "210-375-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Samaan, RPH
• Alicia Lorena Sanchez, LPC-ASSOCIATE
• Thelma Sanchez, PTA
• Jimere Jontelle Sayon
• Jill Denise Scoggins, LMT
• Michael Burke Shatek, LCSW
• Patricia Shepard, LMT
• Ching Yi Shiu
• Esperanza Smith, LCDC
• Felecia E Smith, FNP

• General Practice Dentistry in Windcrest, TX
• Providers in Windcrest, 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 Jun 23, 2019; 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.