NPIMap

Organization Active NPI

My Hometown Dentist at Hollywood Park PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1457119927
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MY HOMETOWN DENTIST AT HOLLYWOOD PARK PLLC
Practice address
15909 San Pedro Ave Ste 200
San Antonio, TX 78232-3743
Phone
(210) 494-4011
NPI assigned
Mar 11, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. P. Christopher Bays, DDSNPI 1629284724
Title
Owner
Phone
(808) 640-8470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

15909 San Pedro Ave Ste 200
San Antonio, TX 78232-3743

Mailing address

24200 Ih 10 W Ste 112
San Antonio, TX 78257-1150
Phone (808) 646-1833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1457119927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 IH 10 W STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571150",
            "telephone_number": "808-646-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 SAN PEDRO AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323743",
            "telephone_number": "210-494-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOMETOWN DENTIST AT HOLLYWOOD PARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BAYS",
        "authorized_official_first_name": "P. CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-640-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "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 Apr 18, 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.