Organization Active NPI

Boerne Family Dental PLLC

Doing business as Hill Country Dental Center

  • General Practice Dentistry
  • Boerne, TX
National Provider Identifier
1528678620
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BOERNE FAMILY DENTAL PLLC
Doing business as
Hill Country Dental Center
Practice address
1112 S Main St Ste a
Boerne, TX 78006-2812
Phone
(830) 755-6475
NPI assigned
Aug 4, 2020
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Dr. Kerry Nelson, DDS
Title
Owner/Operator
Phone
(210) 887-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1112 S Main St Ste a
Boerne, TX 78006-2812

Mailing address

1112 S Main St Ste a
Boerne, TX 78006-2812
Phone (830) 755-6475

Other names 1

  • Hill Country Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1112 S Main St
#A
Boerne, TX 78006
Phone (830) 755-6475

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1528678620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST STE A",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062812",
            "telephone_number": "830-755-6475",
            "fax_number": "830-755-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST STE A",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062812",
            "telephone_number": "830-755-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "210-887-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hill Country Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2025; 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.