Active NPI
Kairos Dental Group, PLLC
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1619835535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KAIROS DENTAL GROUP, PLLC
- Practice address
- 3414 Roosevelt Ave
San Antonio, TX 78214-2606 - Phone
- (210) 909-5502
- NPI assigned
- Jan 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Mijares, DDS
- Title
- Owner/Dentist
- Phone
- (210) 909-5502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3414 Roosevelt Ave
San Antonio, TX 78214-2606
Mailing address
4115 Pond Hill Rd Ste 102
Shavano Park, TX 78231-1285
Phone (210) 909-5502
National Provider Directory
National Provider DirectoryLocations
4115 Pond Hill Rd
Ste 102
Shavano Park, TX 78231
Phone (210) 788-1967
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1760069157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768003200000",
"number": "1619835535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 POND HILL RD STE 102",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311285",
"telephone_number": "210-909-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 ROOSEVELT AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782142606",
"telephone_number": "210-909-5502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIROS DENTAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-10",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A",
"authorized_official_last_name": "MIJARES",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "210-909-5502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.