Uthscsa, Dental School

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

97643 Issued in ZZ

Legal business name

UTHSCSA, DENTAL SCHOOL

Practice address

7703 Floyd Curl Dr # 7892
San Antonio, TX 78229-3901

Phone

(210) 567-3389

NPI assigned

Nov 8, 2013

Last updated

Nov 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fabricio Teixeira

Title

Program Director

Phone

(210) 567-3381

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gautam Shirodkar, BDS MS

  • Dentist
  • San Antonio, TX
  • NPI 1447825567
  NPD (past)

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1639508799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # 7892",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # 7892",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTHSCSA, DENTAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "TEIXEIRA",
        "authorized_official_first_name": "FABRICIO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "210-567-3381",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ZZ",
            "license": "97643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uthsc at San Antonio
• Uthscsa
• Uthscsa
• Uthscsa Dental School
• Uthscsa MSP Pathology
• Utley Speech Therapy, PLLC
• Olga Ann Utley-Rodriguez, MS, CCC-SLP
• Jessica Ellen Utter, LPC
• Kenneth John Utz, PHARM.D.
• Uvalde County Hospital Authority (Coronado At Stone Oak)

• Preferred Provider Organization in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.