Organization Active NPI

Advanced Endodontic Specialists

  • Endodontics
  • San Antonio, TX
National Provider Identifier
1437481876
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
602990076 Issued in WA
Legal business name
ADVANCED ENDODONTIC SPECIALISTS
Practice address
335 E Sonterra Blvd Ste 100
San Antonio, TX 78258-4071
Phone
(360) 434-3636
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Giselle Cardenas Eitter, DDS,MSD
Title
Endodontist/Owner
Phone
(360) 434-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 602990076 WA Primary

Addresses

Primary practice location

335 E Sonterra Blvd Ste 100
San Antonio, TX 78258-4071

Mailing address

335 E Sonterra Blvd Ste 100
San Antonio, TX 78258-4071
Phone (360) 434-3636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1437481876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E SONTERRA BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584071",
            "telephone_number": "360-434-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E SONTERRA BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584071",
            "telephone_number": "360-434-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "EITTER",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_middle_name": "CARDENAS",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "360-434-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "602990076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 28, 2012; 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.