Beryl Otchere, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37573 Issued in TX

Practice address

6510 Babcock Rd Ste 106
San Antonio, TX 78249-2302

Phone

(210) 558-7000

NPI assigned

Jul 8, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beryl Quaye Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• SP Administration

  dba Springtime Family Dental Care

  • Dentist
  • San Antonio, TX
  • NPI 1720526163
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437711694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12117 TOWER FRST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536716",
            "telephone_number": "817-404-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 BABCOCK RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492302",
            "telephone_number": "210-558-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTCHERE",
        "first_name": "BERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERYL",
            "last_name": "QUAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Lynne Oswalt
• Robert Dean Oswalt, LPC
• Glenn Otake, RPH
• Martha S Otake, RPH
• James Otani
• Prince Otchere, MD
• Otera, PLLC
• Jorge M Otero Delgado, MD
• Edwin Gabriel Otero Rivera, MD, MPH
• Carmelo Otero, M.D.

• 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 Nov 27, 2023; 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.