Organization Active NPI

Aaaa Dental

  • Dentist
  • San Antonio, TX
National Provider Identifier
1396089496
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16538 Issued in TX
Legal business name
AAAA DENTAL
Practice address
3233 Wurzbach Rd
San Antonio, TX 78238-4002
Phone
(210) 680-6325
Fax
(210) 680-4957
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Sixto San Miguel Jr.
Title
Dentist
Phone
(210) 680-6325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16538 TX Primary

Addresses

Primary practice location

3233 Wurzbach Rd
San Antonio, TX 78238-4002

Mailing address

3233 Wurzbach Rd
San Antonio, TX 78238-4002
Phone (210) 680-6325

National Provider Directory

National Provider Directory

Locations

3233 Wurzbach Rd
San Antonio, TX 78238
Phone (210) 680-6325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1396089496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384002",
            "telephone_number": "210-680-6325",
            "fax_number": "210-680-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384002",
            "telephone_number": "210-680-6325",
            "fax_number": "210-680-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAAA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SAN MIGUEL",
        "authorized_official_first_name": "SIXTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-680-6325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16538",
            "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 Nov 15, 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.