Dr Michael J Briseno DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14469 Issued in TX

Legal business name

DR MICHAEL J BRISENO DDS PLLC

Practice address

12215 Toepperwein Rd
Ste 100
San Antonio, TX 78233

Phone

(210) 656-6362

Fax

(210) 656-1538

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Javier BrisenoNPI 1740457282

Title

Dentist

Phone

(210) 656-6362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael J Briseno, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1740457282
  NPD (past) Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1568610061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 TOEPPERWEIN RD",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-656-6362",
            "fax_number": "210-656-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 TOEPPERWEIN RD",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-656-6362",
            "fax_number": "210-656-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL J BRISENO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BRISENO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-656-6362",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 9, 2008; 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.