JM Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JM DENTAL SERVICES, PLLC

Practice address

4115 Pond Hill Rd Ste 102
Shavano Park, TX 78231-1285

Phone

(210) 788-1967

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Mijares, DDS

Title

Dentist

Phone

(210) 909-5502

Specialties & licenses 1

Addresses

Other names 1

• Park Hill Dental Doing business as

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1437906708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 POND HILL RD STE 102",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311285",
            "telephone_number": "210-788-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 POND HILL RD STE 102",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311285",
            "telephone_number": "210-788-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MIJARES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-909-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Horton, MS SLP -INTERN
• Priscilla Hover, PA-C
• Kathleen Howard, CNIM
• Michelle Lynae Iverson, M.D.
• Jaydeep S. Shah, M.D. PLLC
• Kaiser Family Medical Management
• David R Kaiser, D.C.
• Lindsay Jo Kane
• Daniel Katselnik, MD
• Kimberlee Daughtry LPC PLLC

• General Practice Dentistry in Shavano Park, TX
• Providers in Shavano Park, 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 May 3, 2024; 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.