Organization Active NPI

Norma S. Ruano D.D.S. PA

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1578720280
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14987 Issued in TX
Legal business name
NORMA S. RUANO D.D.S. PA
Practice address
910 Bandera Rd
Suite 106
San Antonio, TX 78228-4920
Phone
(210) 432-1886
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Norma S Ruano, D.D.S.
Title
Owner/Dentist
Phone
(210) 432-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 14987 TX Primary

Addresses

Primary practice location

910 Bandera Rd
Suite 106
San Antonio, TX 78228-4920

Mailing address

910 Bandera Rd
Suite 106
San Antonio, TX 78228-4920
Phone (210) 432-1886

Other identifiers 1

IdentifierTypeStateIssuer
120908204MedicaidTX

Other names 1

  • Sonrisas de Ninos Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

910 Bandera Rd
Ste 106
San Antonio, TX 78228
Phone (210) 432-1886

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1578720280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BANDERA RD",
            "address_2": "SUITE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284920",
            "telephone_number": "210-432-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BANDERA RD",
            "address_2": "SUITE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782284920",
            "telephone_number": "210-432-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA S. RUANO D.D.S. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "RUANO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-432-1886",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "14987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120908204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisas de Ninos Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.