Organization Active NPI

Culebra Family Dentistry PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1669155214
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CULEBRA FAMILY DENTISTRY PLLC
Practice address
14124 Culebra Rd
Suite 113
San Antonio, TX 78254
Phone
(210) 787-3301
Fax
(210) 787-3304
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Esha S Shah, DDSNPI 1659891398
Title
Owner/ Dentist
Phone
(210) 787-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14124 Culebra Rd
Suite 113
San Antonio, TX 78254

Mailing address

19434 Gran Roble
San Antonio, TX 78258-3332
Phone (213) 440-2132

National Provider Directory

National Provider Directory

Locations

14124 Culebra Rd
Unit 113
San Antonio, TX 78253
Phone (210) 787-1554

Practitioners & affiliated clinicians

Practitioners 2

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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1669155214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19434 GRAN ROBLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583332",
            "telephone_number": "213-440-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 CULEBRA RD",
            "address_2": "SUITE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-787-3301",
            "fax_number": "210-787-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULEBRA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ESHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "210-787-3301",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 10, 2023; 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.