Ideal Dental of Road Runner PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDEAL DENTAL OF ROAD RUNNER PLLC

Practice address

8338 N Loop 1604 W
Building 1 Ste 104
San Antonio, TX 78249-3481

Phone

(210) 877-9100

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Sulman Ahmed, DMD

Title

Ceo

Phone

(972) 361-0600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Maria L. Trinidad, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1053475681
  NPD (past)
• Laura Tsu

  • Dentist
  • San Marcos, TX
  • NPI 1659897056
  NPD (past)
• Thamar Ansari Sarwar, DDS

  • General Practice Dentistry
  • Camp Lejeune, NC
  • NPI 1477942548
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1649634007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 N LOOP 1604 W",
            "address_2": "BUILDING 1 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493481",
            "telephone_number": "210-877-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 N LOOP 1604 W",
            "address_2": "BUILDING 1 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493481",
            "telephone_number": "210-877-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF ROAD RUNNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-361-0600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Dental Brooks City PLLC
• Ideal Dental of Alamo Ranch PLLC
• Ideal Dental of Bulverde PLLC
• Ideal Dental of Eilan PLLC
• Ideal Dental of Potranco PLLC
• Ideal Dental of Stone Oak
• Ideal Dental of Wilderness Oak PLLC
• Ideal Shoes & Medical Supplies
• Mitchell Scott Iden
• Identity Development Counseling and Family Resource Center

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.