NPIMap

Organization Active NPI

Cibolo 7To7 PLLC

  • Dental Clinic/Center
  • Cibolo, TX
National Provider Identifier
1427723451
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CIBOLO 7TO7 PLLC
Practice address
113 Rodeo Way Ste 100
Cibolo, TX 78108-3979
Phone
(210) 495-2000
Fax
(210) 495-2001
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Andrea Carolina Villarreal
Title
Credentialing Manager
Phone
(210) 495-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

113 Rodeo Way Ste 100
Cibolo, TX 78108-3979

Mailing address

PO Box 461649
San Antonio, TX 78246-1649
Phone (210) 495-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1427723451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461649",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782461649",
            "telephone_number": "210-495-2000",
            "fax_number": "210-495-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 RODEO WAY STE 100",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083979",
            "telephone_number": "210-495-2000",
            "fax_number": "210-495-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIBOLO 7TO7 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "210-495-2000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.