Untie PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

UNTIE PLLC

Practice address

10003 NW Military Hwy Ste 3207
San Antonio, TX 78231-1892

Phone

(210) 417-4181

Fax

(210) 504-4969

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Rex E Wildey, DDSNPI 1306165378

Title

Owner/Doctor

Phone

(210) 417-4181

Specialties & licenses 1

Addresses

Other names 1

• Untie South Texas 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.

• Rex Elwyn Wildey, D.D.S

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1306165378
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1508639766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782387",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782782387",
            "telephone_number": "210-971-6018",
            "fax_number": "210-504-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY STE 3207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311892",
            "telephone_number": "210-417-4181",
            "fax_number": "210-504-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "WILDEY",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "210-417-4181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Untie South Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 31, 2023; 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.