Empire Dental

Key facts

NPI

1639633480

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

EMPIRE DENTAL

Practice address

1915 Rogers Road
San Antonio, TX 78251-7825

Phone

(443) 944-6969

NPI assigned

Jan 25, 2019

Organization subpart

No

Authorized official

Name

Seema Chandi

Title

Bussiness Manager

Phone

(443) 944-6969

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 25, 2019.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1639633480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 GRANADA WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571733",
            "telephone_number": "443-944-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 ROGERS ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782517825",
            "telephone_number": "443-944-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "CHANDI",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "BUSSINESS MANAGER",
        "authorized_official_telephone_number": "443-944-6969"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "29662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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