Celebraces Bandera

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24904

Legal business name

CELEBRACES BANDERA

Practice address

6810 Bandera Rd
Suite #2
San Antonio, TX 78238-1358

Phone

(210) 683-6353

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

David Burton Ferguson, DDS

Title

Managing Member

Phone

(210) 683-6353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1649517376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 BANDERA RD",
            "address_2": "SUITE #2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 BANDERA RD",
            "address_2": "SUITE #2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381358",
            "telephone_number": "210-683-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRACES BANDERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-683-6353",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": "24904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cedillo
• Christina Patricia Cefaldo, M.A. CCC-SLP
• Cynthia Celaya-Hernandez, FNP
• Cele Oliver DDS PLLC
• Cele Pokorney DDS PLLC
• Celebraces Commerce PLLC
• Celebraces Huebner PLLC
• Celebraces Marbach
• Celebraces PLLC
• Celebraces San Pedro 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 Jan 15, 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.