Isgema Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7257 Issued in TX

Legal business name

ISGEMA CORP.

Practice address

2404 Commercial Ave
Ste G
San Antonio, TX 78221-1703

Phone

(210) 928-7975

Fax

(210) 928-7977

NPI assigned

Jun 25, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ismael Guajardo, D.D.S.

Title

President

Phone

(210) 928-7975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1437355526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 COMMERCIAL AVE",
            "address_2": "STE G",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211703",
            "telephone_number": "210-928-7975",
            "fax_number": "210-928-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 COMMERCIAL AVE",
            "address_2": "STE G",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211703",
            "telephone_number": "210-928-7975",
            "fax_number": "210-928-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISGEMA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "GUAJARDO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-928-7975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "7257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.