Alamo Heights Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24684 Issued in TX

Legal business name

ALAMO HEIGHTS DENTAL, PLLC

Practice address

110 Chichester PL # 200
San Antonio, TX 78209-5306

Phone

(210) 824-3243

NPI assigned

Dec 28, 2017

Last updated

Dec 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John McCullough Dekoch, DDSNPI 1225265671

Title

Manager

Phone

(210) 824-3243

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• John McCullough Dekoch, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1225265671
  Authorized official Same address or phone
• Dirk Paul Dekoch, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1184777641
  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1467968479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHICHESTER PL # 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095306",
            "telephone_number": "210-824-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHICHESTER PL # 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095306",
            "telephone_number": "210-824-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO HEIGHTS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "DEKOCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MCCULLOUGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-824-3243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alamo Heights Britton Orthodontics PA
• Alamo Heights Chiropractic Health Center
• Alamo Heights Complete Care LLC (The Emergency Clinic at Alamo Heights)
• Alamo Heights Concierge Psychiatry PLLC
• Alamo Heights Counseling Inc.
• Alamo Heights Dentistry for Children, PLLC (Sunshine Pediatric Dentistry)
• Alamo Heights Dermatology PA
• Alamo Heights Ers Acquisition Partners LLC (The Emergency Clinic at Alamo Heights)
• Alamo Heights Independent School District
• Alamo Heights Internal Medicine, PA

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Dec 28, 2017; 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.