NPIMap

Organization Active NPI

San Antonio Pediatric Dentistry, PLLC

Doing business as San Antonio Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1427513316
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SAN ANTONIO PEDIATRIC DENTISTRY, PLLC
Doing business as
San Antonio Pediatric Dentistry and Orthodontics
Practice address
17026 Bulverde Rd Ste 102
San Antonio, TX 78247-4700
Phone
(210) 944-8111
NPI assigned
Feb 5, 2019
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Claudia Rains
Title
Office Manager
Phone
(512) 353-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

17026 Bulverde Rd Ste 102
San Antonio, TX 78247-4700

Mailing address

1320 Wonder World Dr Ste 103
San Marcos, TX 78666-7558
Phone (210) 944-8111

Other names 1

  • San Antonio Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

17026 Bulverde Rd
Ste 102
San Antonio, TX 78247
Phone (210) 944-8111

1320 Wonder World Dr
Ste 103
San Marcos, TX 78666
Phone (512) 353-5500

Practitioners & affiliated clinicians

Practitioners 4

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": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1427513316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 103",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558",
            "telephone_number": "210-944-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17026 BULVERDE RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474700",
            "telephone_number": "210-944-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-353-5500"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2020; 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.