Southeast Endodontic Group PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SOUTHEAST ENDODONTIC GROUP PC

Practice address

3303 S WW White Rd
San Antonio, TX 78222-4829

Phone

(210) 257-8863

Fax

(210) 257-8940

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Karriem Thurman

Title

Owner/Doctor

Phone

(267) 973-5988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1588076103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224829",
            "telephone_number": "210-257-8863",
            "fax_number": "210-257-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224829",
            "telephone_number": "210-257-8863",
            "fax_number": "210-257-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ENDODONTIC GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "KARRIEM",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "267-973-5988"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Wound Associates, PA
• Krystal Ashley South
• Southcross Emergency Physicians Group
• Southcross Hospital LLC
• Southcross Surgical Center, LLC
• Southeast Nursing & Rehabilitation Center, L.P.
• Southeast OB-GYN Associates
• Southeast South Texas Center for Pediatric Care
• Southeast South Texas Center for Pediatric Care
• Southeast Surgical Associates, P.a.

• Endodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.