Celebraces San Pedro LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CELEBRACES SAN PEDRO LLC

Doing business as

Celebrate Dental & Braces

Practice address

6868 San Pedro Ave
San Antonio, TX 78216-7201

Phone

(210) 675-7000

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

David Ferguson, DDS CAGSNPI 1568508794

Title

Manager

Phone

(210) 675-7000

Specialties & licenses 1

Addresses

Other names 1

• Celebrate Dental & Braces Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Burton Ferguson, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1568508794
  NPD Authorized official

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1558824201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6868 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167201",
            "telephone_number": "210-675-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6868 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167201",
            "telephone_number": "210-675-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRACES SAN PEDRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-675-7000",
        "authorized_official_credential": "DDS CAGS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celebrate Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celebraces Bandera
• Celebraces Commerce PLLC
• Celebraces Huebner PLLC
• Celebraces Marbach
• Celebraces PLLC
• Celebraces SE Military PLLC
• Celebrate Dental Marbach PLLC
• Angel Celedon
• Brianna Celedon
• Krista Celedon

• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.