NPIMap

Organization Active NPI

Sopd PLLC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1629372602
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SOPD PLLC
Practice address
20322 Huebner Rd
Suite #103
San Antonio, TX 78258-3462
Phone
(210) 491-4141
Fax
(210) 494-4025
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Mrs. Jamie Preece
Title
Office Manager
Phone
(210) 491-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

20322 Huebner Rd
Suite #103
San Antonio, TX 78258-3462

Mailing address

20322 Huebner Rd
Suite #103
San Antonio, TX 78258-3462
Phone (210) 491-4141

Other names 1

  • Stone Oak Pediatric Dentistry or Dominion Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1629372602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20322 HUEBNER RD",
            "address_2": "SUITE #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583462",
            "telephone_number": "210-491-4141",
            "fax_number": "210-494-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20322 HUEBNER RD",
            "address_2": "SUITE #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583462",
            "telephone_number": "210-491-4141",
            "fax_number": "210-494-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-491-4141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Oak Pediatric Dentistry or Dominion Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2011; 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.