Organization Active NPI

Nirvana Care PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1639610538
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29133 Issued in TX
Legal business name
NIRVANA CARE PLLC
Practice address
15068 San Pedro Ave
San Antonio, TX 78232-3714
Phone
(210) 494-7681
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Virendrasinh Chauhan, DDS
Title
Dentist
Phone
(210) 494-7681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 29133 TX Primary

Addresses

Primary practice location

15068 San Pedro Ave
San Antonio, TX 78232-3714

Mailing address

15068 San Pedro Ave
San Antonio, TX 78232-3714
Phone (210) 494-7681

Other names 1

  • Brook Hollow Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15068 San Pedro Ave
#240
San Antonio, TX 78232
Phone (210) 494-7681

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1639610538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15068 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323714",
            "telephone_number": "210-494-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15068 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323714",
            "telephone_number": "210-494-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "VIRENDRASINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-494-7681",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brook Hollow Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brook Hollow Family 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 Dec 23, 2019; 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.