Individual provider Active NPI

Thomas W Sterio, D.M.D.

  • Periodontics
  • San Antonio, TX
National Provider Identifier
1407002256
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
UTSA 856-X Issued in TX
Practice address
8811 Brae Crest Dr
San Antonio, TX 78249-3836
Phone
(978) 852-8491
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X UTSA 856-X TX Primary

Addresses

Primary practice location

8811 Brae Crest Dr
San Antonio, TX 78249-3836

Mailing address

8811 Brae Crest Dr
San Antonio, TX 78249-3836
Phone (978) 852-8491

Other identifiers 1

IdentifierTypeStateIssuer
UTSA 856-XOtherTXSTATE BOARD OF DENTAL EXAMINERS (SBDE)

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
UTSA 856-XTXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1407002256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 BRAE CREST DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493836",
            "telephone_number": "978-852-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 BRAE CREST DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493836",
            "telephone_number": "978-852-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERIO",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "UTSA 856-X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF DENTAL EXAMINERS (SBDE)",
            "identifier": "UTSA 856-X",
            "state": "TX"
        }
    ],
    "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 Aug 12, 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.