Organization Active NPI

Campos Family Dental, P.C.

  • General Practice Dentistry
  • Boerne, TX
National Provider Identifier
1528293248
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16042 Issued in TX
Legal business name
CAMPOS FAMILY DENTAL, P.C.
Practice address
230 W Bandera Rd
Boerne, TX 78006-2805
Phone
(830) 816-5228
Fax
(830) 816-5113
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Mrs. Veronica Hinojosa
Title
Office Manager
Phone
(830) 816-5228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16042 TX Primary

Addresses

Primary practice location

230 W Bandera Rd
Boerne, TX 78006-2805

Mailing address

230 W Bandera Rd
Boerne, TX 78006-2805
Phone (830) 816-5228

Other identifiers 1

IdentifierTypeStateIssuer
133265211MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Campos Family Dental PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1528293248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062805",
            "telephone_number": "830-816-5228",
            "fax_number": "830-816-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062805",
            "telephone_number": "830-816-5228",
            "fax_number": "830-816-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPOS FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-816-5228",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133265211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.