Organization Active NPI

6 To 9 Dental Texas,PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1396006714
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25974 Issued in TX
Legal business name
6 TO 9 DENTAL TEXAS,PLLC
Practice address
2603 SE Military Drive
103
San Antonio, TX 78223
Phone
(210) 333-6911
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. Virginia Potter Humphrey Thomas, DDS
Title
Manager
Phone
(210) 333-6911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 25974 TX Primary

Addresses

Primary practice location

2603 SE Military Drive
103
San Antonio, TX 78223

Mailing address

2603 SE Military Drive
103
San Antonio, TX 78223
Phone (210) 333-6911

National Provider Directory

National Provider Directory

Locations

2603 SE Military Dr
#103
San Antonio, TX 78223
Phone (210) 333-6911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1396006714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 SE MILITARY DRIVE",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-333-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 SE MILITARY DRIVE",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-333-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "6 TO 9 DENTAL TEXAS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "POTTER HUMPHREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-333-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25974",
            "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 Jun 1, 2012; 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.