Ishmael Pendleton

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

2940 Stanley Rd
San Antonio, TX 78234-2740

Phone

(210) 295-4156

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1619602414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20710 HUEBNER RD APT 3209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 STANLEY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782342740",
            "telephone_number": "210-295-4156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Garden Ave Ste 1278",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347719",
            "country_code": "US",
            "telephone_number": "210-808-3735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "ISHMAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Penbrook
• Brenda Jean Pence, PSY.D.
• Eric Pendarvis, PHARMD
• Rebekah Ruth Pender, PH.D., LPC, NCC
• Daisy Rita Pendergast, CHW
• Edelweiss Pendon, DNP
• Joseph David Pendon, M.D.
• Ge Peng
• Jocelyn Samantha Penilla
• Jeri L Penkava, MD

• Dental Hygienist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.