Active NPI
Complete Family Dentistry
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1407279912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27038
- Legal business name
- COMPLETE FAMILY DENTISTRY
- Practice address
- 1302 S Gen McMullen Dr
Suite 102
San Antonio, TX 78237-4200 - Phone
- (210) 432-7851
- NPI assigned
- Feb 4, 2014
- Last updated
- Feb 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael S Davis, D.D.S
- Title
- Owner
- Phone
- (210) 432-7851
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27038 | TX | Primary |
Addresses
Primary practice location
1302 S Gen McMullen Dr
Suite 102
San Antonio, TX 78237-4200
Mailing address
1302 S Gen McMullen Dr
Suite 102
San Antonio, TX 78237-4200
Phone (210) 432-7851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27033 | Other | TX | LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1003103920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1407279912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 S GEN MCMULLEN DR",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782374200",
"telephone_number": "210-432-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 S GEN MCMULLEN DR",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782374200",
"telephone_number": "210-432-7851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-432-7851",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "27033",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Complete Diagnostics
- Complete DX Limited Liability Company
- Complete Emergency Care City Base LLC (Brooks City Base Complete Care)
- Complete Emergency Care de Zavala LLC
- Complete Emergency Care I LLC
- Complete Life Care
- Complete Solutions RX LLC (Complete Solutions Rx)
- Completecare Home Health LLC
- Complex Rehab Technologies LLC (Reliable Medical Supply)
- Comprehensive Chiropractic & Osteopathy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.