South Texas Smiles, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22977 Issued in TX

Legal business name

SOUTH TEXAS SMILES, PLLC

Practice address

10007 Huebner Rd Ste 103
San Antonio, TX 78240-1646

Phone

(210) 614-3898

Fax

(210) 614-3950

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ana Maldonado, DMD

Title

Owner

Phone

(210) 614-3898

Specialties & licenses 5

Addresses

Locations

Practitioners 2

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

• Adam Myer Furman, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1881047744
  NPD (past)
• Austin Lee, D.M.D.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1518341320
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1598099541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 HUEBNER RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401646",
            "telephone_number": "210-614-3898",
            "fax_number": "210-614-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 HUEBNER RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401646",
            "telephone_number": "210-614-3898",
            "fax_number": "210-614-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22977",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "8261",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "4540",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "12877",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "13272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Prosthetics Inc
• South Texas Psychotherapy
• South Texas Radiology Group PA
• South Texas Radiology Imaging Centers
• South Texas Skin Cancer Center LLC
• South Texas Specialty Care PLLC
• South Texas Spinal Clinic, P.a.
• South Texas Spinal Clinic, P.a.
• South Texas Spine & Surgical Hospital LP
• South Texas Spine ASC, PLLC

• All providers in San Antonio, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.