JRV Orthodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23213 Issued in TX

Legal business name

JRV ORTHODONTICS, PLLC

Doing business as

San Antonio Orthodontics

Practice address

12315 Judson Rd Ste 218
Live Oak, TX 78233-3264

Phone

(210) 656-3531

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. James Vandeberg, DDS, MS

Title

Owner

Phone

(210) 902-9122

Specialties & licenses 1

Addresses

Other names 1

• San Antonio Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lou R. Baeten, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1043212202
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1508363698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 ALYDAR CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154434",
            "telephone_number": "210-902-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 218",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333264",
            "telephone_number": "210-656-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRV ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "VANDEBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-902-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Antonio Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Aaron Jones, DPT
• Keri A Jones, PT, DPT, LAT
• Kourtney A Jones, RBT
• Roney Joseph
• Roby P. Joyce, M.D.
• Lynsey Diane Juarez
• Judson Road Emergency Physicians PLLC
• Cassidy Jumper, LMSW
• K Hudson Beauty LLC
• Christie Ann Kaess

• Dental Clinic/Center in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.