Beatriz Cantu Petty DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19379 Issued in TX

Legal business name

BEATRIZ CANTU PETTY DDS PC

Doing business as

dental doc

Practice address

2358 E Southcross Blvd
San Antonio, TX 78223-2263

Phone

(210) 532-9998

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Beatriz Cantu Petty, DDS

Title

Dentist President

Phone

(210) 532-9998

Specialties & licenses 1

Addresses

Other names 1

• dental doc Doing business as

Locations

Practitioners 1

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

• Beatriz Cantu-Petty, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1386809226
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1619186111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232263",
            "telephone_number": "210-532-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232263",
            "telephone_number": "210-532-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRIZ CANTU PETTY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "CANTU",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "210-532-9998",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Beasley, FNP-C
• Brianna Beason, OT
• Beat AIDS Coalition Trust (Your Choice Clinic)
• Beat AIDS Coalition Trust (Beat AIDS)
• Beat AIDS Coalition Trust (BEAT AIDS Pharmacy)
• Carrie Stephanie Beatty, M.D.
• Robyn Beatty, PHARMD
• April Beaty, SLP
• John Robert Beauchamp, M.D.
• Lauren Nicole Beaudoin, OTR

• 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 5, 2007; 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.