Active NPI
Senta Pernell, DENTAL HYGIENST
- Dental Hygienist
- San Antonio, TX
National Provider Identifier
1477904225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 19231
- Practice address
- 2940 Stanley Rd
Ste 2375
San Antonio, TX 78234-2740 - Phone
- (210) 295-4156
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 19231 | TX | Primary |
Addresses
Primary practice location
2940 Stanley Rd
Ste 2375
San Antonio, TX 78234-2740
Mailing address
7207 Albany RDG
San Antonio, TX 78250-6297
Phone (210) 416-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19231 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1477904225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7207 ALBANY RDG",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782506297",
"telephone_number": "210-416-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 STANLEY RD",
"address_2": "STE 2375",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782342740",
"telephone_number": "210-295-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNELL",
"first_name": "SENTA",
"name_prefix": "Ms.",
"credential": "DENTAL HYGIENST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "19231",
"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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.