Organization Active NPI

Irma Cantu-Thompson Ddspc

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1467746784
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IRMA CANTU-THOMPSON DDSPC
Doing business as
Smiles-R-Us
Practice address
1114 SW Military Dr
Suite #112
San Antonio, TX 78221-1568
Phone
(210) 923-5422
Fax
(210) 923-2974
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Dr. Irma Cantu-Thompson, DDS
Title
Owner/President
Phone
(210) 923-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1114 SW Military Dr
Suite #112
San Antonio, TX 78221-1568

Mailing address

1114 SW Military Dr
Suite #112
San Antonio, TX 78221-1568
Phone (210) 923-5422

Other identifiers 1

IdentifierTypeStateIssuer
009377501MedicaidTX

Other names 1

  • Smiles-R-Us Doing business as

National Provider Directory

National Provider Directory

Locations

1114 SW Military Dr
Ste 112
San Antonio, TX 78221
Phone (210) 923-5422

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": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1467746784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 SW MILITARY DR",
            "address_2": "SUITE #112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211568",
            "telephone_number": "210-923-5422",
            "fax_number": "210-923-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 SW MILITARY DR",
            "address_2": "SUITE #112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211568",
            "telephone_number": "210-923-5422",
            "fax_number": "210-923-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMA CANTU-THOMPSON DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "CANTU-THOMPSON",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-923-5422",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009377501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles-R-Us",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2011; 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.