Individual provider Active NPI

Beatriz Cantu-Petty, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1386809226
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19379 Issued in TX
Practice address
9262 Culebra Rd
107
San Antonio, TX 78251-3571
Phone
(210) 680-0860
Fax
(210) 680-0861
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19379 TX Primary

Addresses

Primary practice location

9262 Culebra Rd
107
San Antonio, TX 78251-3571

Mailing address

2358 E Southcross Blvd
San Antonio, TX 78223-2263
Phone (210) 532-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19379TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beatriz Cantu Petty DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1386809226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232263",
            "telephone_number": "210-532-9998",
            "fax_number": "210-532-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9262 CULEBRA RD",
            "address_2": "107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513571",
            "telephone_number": "210-680-0860",
            "fax_number": "210-680-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU-PETTY",
        "first_name": "BEATRIZ",
        "name_prefix": "Miss",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19379",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2008; 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.