Active NPI
Samuel Thomas Deahl II, DMD
- Oral and Maxillofacial Radiology Dentistry
- San Antonio, TX
National Provider Identifier
1407117666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 17472
- Practice address
- 7703 Floyd Curl Dr
San Antonio, TX 78229-3901 - Phone
- (210) 567-7000
- NPI assigned
- Jun 5, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 17472 | TX | Primary |
Addresses
Primary practice location
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Mailing address
PO Box 40397
Department of Comprehensive Dentistry
San Antonio, TX 78229-1397
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 |
|---|---|---|---|
| 17472 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1407117666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40397",
"address_2": "DEPARTMENT OF COMPREHENSIVE DENTISTRY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782291397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-567-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAHL",
"first_name": "SAMUEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "TX",
"license": "17472",
"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 5, 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.