Compassionate Dentists PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COMPASSIONATE DENTISTS PLLC

Doing business as

Fifty Plus Dental
Geriatric Dental Group
Geriatric Dental Group of South Texas

Practice address

5282 Medical Dr Ste 104
San Antonio, TX 78229-4983

Phone

(210) 617-4446

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Lynn Nolf

Title

Registered Agent / Coo

Phone

(210) 617-4446

Specialties & licenses 1

Addresses

Other names 3

• Fifty Plus Dental Doing business as
• Geriatric Dental Group Doing business as
• Geriatric Dental Group of South Texas Doing business as

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1457018947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294983",
            "telephone_number": "210-617-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294983",
            "telephone_number": "210-617-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE DENTISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "NOLF",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED AGENT / COO",
        "authorized_official_telephone_number": "210-617-4446"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fifty Plus Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geriatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geriatric Dental Group of South Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chrstian Edgar Compean, PT
• Genevieve Arlene Compean, LPC
• Tammy Compere, ATP

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.