Active NPI
Beatriz Cantu-Petty, D.D.S.
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1386809226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19379
- Practice address
- 9262 Culebra Rd
107
San Antonio, TX 78251-3571 - Phone
- (210) 680-0860
- Fax
- (210) 680-0861
- NPI assigned
- Jul 21, 2008
- Last updated
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19379 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.