South Texas Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTH TEXAS ORTHODONTICS

Practice address

14855 Blanco Rd Ste 109
San Antonio, TX 78216-7728

Phone

(210) 493-6067

Fax

(210) 493-0430

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Miss Sheryl Wallace

Title

Office Manager

Phone

(210) 493-6067

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bradley Dale Bruchmiller, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1215934369
  NPD (past)
• Amy Jackson

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1881754877
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639384456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167728",
            "telephone_number": "210-493-6067",
            "fax_number": "210-493-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167728",
            "telephone_number": "210-493-6067",
            "fax_number": "210-493-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-493-6067",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Neurosurgical Associates,P.a.
• South Texas Nurse Practitioner Services, PLLC (Innovative Primary Care)
• South Texas Oncology and Hematology, PLLC (The START Center Pharmacy)
• South Texas Oncology and Hematology, PLLC
• South Texas Ophthalmology & Associates
• South Texas Orthopaedic & Spinal Surgery Associates P.a.
• South Texas Orthopaedic Associates
• South Texas Orthopedic Assistants
• South Texas Orthopedic Specialty Group, PLLC
• South Texas Pain & Recovery Center LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.