Arthur Joel Hernandez, D.D.S.,P.A.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14063 Issued in TX

Practice address

1202 W Bitters Rd BLDG 5
San Antonio, TX 78216-7852

Phone

(210) 408-7182

Fax

(210) 408-7993

NPI assigned

Dec 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TX Southern Dental PPO PC

  dba Ricardo Diaz DDS

  • Periodontics
  • San Antonio, TX
  • NPI 1063300960
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417015173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W BITTERS RD BLDG 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167852",
            "telephone_number": "210-408-7182",
            "fax_number": "210-408-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BITTERS RD BLDG 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167852",
            "telephone_number": "210-408-7182",
            "fax_number": "210-408-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ARTHUR",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "14063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annel Viridiana Hernandez
• Antonio Hernandez, MSPT
• Antonio Jose Hernandez, MD
• April Hernandez, LAT, ATC
• Ariel Hernandez
• Arthur Samuel Hernandez, M.D.
• Ashley Hernandez
• Ashley D Hernandez, NP
• Ashley K Hernandez, LCDC
• Azalya Veronica Hernandez, OT

• Oral and Maxillofacial Surgery (Dentist) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.