Organization Active NPI

All About Teeth

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1457565483
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D 16514 Issued in TX
Legal business name
ALL ABOUT TEETH
Practice address
14400 Jones Maltsberger Rd
Suite 101
San Antonio, TX 78247-3748
Phone
(210) 545-3929
Fax
(210) 545-5069
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Holly Rosharon Lane, DDSNPI 1023230711
Title
President
Phone
(210) 545-3929

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D 16514 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D 18205 TX

Addresses

Primary practice location

14400 Jones Maltsberger Rd
Suite 101
San Antonio, TX 78247-3748

Mailing address

14400 Jones Maltsberger Rd
Suite 101
San Antonio, TX 78247-3748
Phone (210) 545-3929

Other identifiers 1

IdentifierTypeStateIssuer
18205OtherTXDR WYRICK'S STATE LIC. #

Other names 1

  • Holly R. Lane, DDS, PA Other name

National Provider Directory

National Provider Directory

Locations

14400 Jones Maltsberger Rd
Ste 101
San Antonio, TX 78247
Phone (210) 545-3929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1457565483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 JONES MALTSBERGER RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473748",
            "telephone_number": "210-545-3929",
            "fax_number": "210-545-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 JONES MALTSBERGER RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473748",
            "telephone_number": "210-545-3929",
            "fax_number": "210-545-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT TEETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ROSHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-545-3929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D 16514",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D 18205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR WYRICK'S STATE LIC. #",
            "identifier": "18205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly R. Lane, DDS, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 2008; 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.