Active NPI
Leticia G Jeffords, DDS
- Pediatric Dentistry
- San Antonio, TX
National Provider Identifier
1558459396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18284
- Practice address
- 7322 W Military Dr
San Antonio, TX 78227-2924 - Phone
- (210) 673-3792
- Fax
- (210) 673-8837
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 18284 | TX | Primary |
Addresses
Primary practice location
7322 W Military Dr
San Antonio, TX 78227-2924
Mailing address
7322 Military Dr West
San Antonio, TX 78227-2924
Phone (210) 673-3792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18284 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Pediatric Dental | Pediatric Dentistry | Past | Accepting new patients |
| Gutierrez Pediatric Dentistry, PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Your Child's Dentist
- Pediatric Dentistry
- San Antonio, TX
- NPI 1477040863
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1255350435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1558459396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7322 MILITARY DR WEST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782272924",
"telephone_number": "210-673-3792",
"fax_number": "210-673-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7322 W MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782272924",
"telephone_number": "210-673-3792",
"fax_number": "210-673-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFORDS",
"first_name": "LETICIA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "18284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Jefferson Medical Supply, Inc.
- Jefferson Pharmacy Inc (Jefferson Pharmacy)
- Devon Jefferson, LCSW
- Jeffery L. Miller, DDS, Inc (24th Street Dental Care)
- Takarah Kide Jeffery
- Jeffrey a. Feinstein, M.D., P.a.
- Jeffrey Henkes DDS
- Jeffrey M Benzick MD PA
- Jeffrey M. Martinez, M.D., P.a. (Espada Vascular)
- Jeffrey R. Warman, M.D., P.a. (Pediatric Orthopedic and Scoliosis Center of South Texas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.