Laith Family Dentristry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25079 Issued in TX

Legal business name

LAITH FAMILY DENTRISTRY

Practice address

10865 Shaenfield Rd
Suite 1108
San Antonio, TX 78254-9601

Phone

(210) 782-6842

Fax

(210) 310-3475

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Racha W Khireiwish, DDS

Title

General Dentist/Owner

Phone

(210) 782-6842

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1518237189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10865 SHAENFIELD RD",
            "address_2": "SUITE 1108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549601",
            "telephone_number": "210-782-6842",
            "fax_number": "210-310-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10865 SHAENFIELD RD",
            "address_2": "SUITE 1108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549601",
            "telephone_number": "210-782-6842",
            "fax_number": "210-310-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAITH FAMILY DENTRISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "KHIREIWISH",
        "authorized_official_first_name": "RACHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "210-782-6842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore James Lainiotis, DO
• Marilyn Laird-Garland, LCSW
• Norman Washington Laird, PT, DPT
• Abby Dale Laitan, NP
• Laith Family Dentistry Central
• Brooke Aileen Lajeunesse, MD
• Lake Area Home Health, LLC
• Lake Mi Mobile Doctors PC
• Jennifer Gornto Lake, MS, CCC-SLP
• Lakesh Allure, PLLC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.