Kiddo Dental PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23041 Issued in TX

Legal business name

KIDDO DENTAL PA

Practice address

20306 Encino Ledge Ste 106
Kiddo Dental
San Antonio, TX 78259

Phone

(210) 495-6800

Fax

(210) 495-6801

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Cesar Rotter, DDS

Title

Dentist

Phone

(210) 459-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cesar Rotter DDS Other name

Tax ID family

Cesar Rotter DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kiddo Denal PA

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1841580826
  NPD tax ID

Locations

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1508156589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20306 ENCINO LEDGE STE 106",
            "address_2": "KIDDO DENTAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "210-495-6800",
            "fax_number": "210-495-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 ENCINO LEDGE STE 106",
            "address_2": "KIDDO DENTAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "210-495-6800",
            "fax_number": "210-495-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDO DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "ROTTER",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-459-6800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182604207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cesar Rotter DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph N Kidd Jr., M.D.
• Marie Louise Kidd
• Rodney Desmond Kidd Jr., M.D.
• Robert Kidder, DO
• Kiddo Denal PA
• Kidney and Blood Pressure Clinic
• Kidney and Primary Care of Texas LLC
• Kidney and Wellness Center PLLC
• Kidney Treatment Center East P a
• Kidney Treatment Center Northwest P a

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.