NPIMap

Organization Active NPI

Gutierrez Pediatric Dentistry, PC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1477040863
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
18284 Issued in TX
Legal business name
GUTIERREZ PEDIATRIC DENTISTRY, PC
Practice address
7322 W Military Dr
San Antonio, TX 78227-2924
Phone
(210) 673-3792
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Dr. Leticia Gutierrez Jeffords, DDS, MSNPI 1558459396
Title
President
Phone
(210) 771-5389

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 18284 TX Primary

Addresses

Primary practice location

7322 W Military Dr
San Antonio, TX 78227-2924

Mailing address

7322 W Military Dr
San Antonio, TX 78227-2924
Phone (210) 673-3792

Other names 1

  • Your Child's Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

7322 W Military Dr
San Antonio, TX 78227
Phone (210) 673-3792

Practitioners & affiliated clinicians

Practitioners 2

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": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1477040863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 W MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272924",
            "telephone_number": "210-673-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 W MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272924",
            "telephone_number": "210-673-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "GUTIERREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-771-5389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Child's Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Child's Dentist",
            "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 Apr 20, 2018; 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.