Organization Active NPI

Tooth Transitions PLLC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1487827135
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22685 Issued in TX
Legal business name
TOOTH TRANSITIONS PLLC
Practice address
5723 N Foster Rd Ste 105
San Antonio, TX 78244-1238
Phone
(210) 661-1352
Fax
(210) 661-0355
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Damon Dorsey Ross, DDS
Title
Provider/Member
Phone
(919) 423-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 22685 TX Primary

Addresses

Primary practice location

5723 N Foster Rd Ste 105
San Antonio, TX 78244-1238

Mailing address

5723 N Foster Rd Ste 105
San Antonio, TX 78244-1238
Phone (210) 661-1352

National Provider Directory

National Provider Directory

Locations

5723 N Foster Rd
Ste 105
San Antonio, TX 78244
Phone (210) 661-1352

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1487827135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 N FOSTER RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441238",
            "telephone_number": "210-661-1352",
            "fax_number": "210-661-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 N FOSTER RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441238",
            "telephone_number": "210-661-1352",
            "fax_number": "210-661-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH TRANSITIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "DORSEY",
        "authorized_official_title_or_position": "PROVIDER/MEMBER",
        "authorized_official_telephone_number": "919-423-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22685",
            "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 Jul 10, 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.