Nicholas Andrew Coronel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31266 Issued in TX

Practice address

12415 Bandera Rd Ste 110
Helotes, TX 78023-4265

Phone

(210) 318-4119

Fax

(210) 372-9795

NPI assigned

Nov 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Smiles Dental, PLLC

  • General Practice Dentistry
  • Wappingers Falls, NY
  • NPI 1841713344
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1669717849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 BANDERA RD STE 110",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234265",
            "telephone_number": "210-318-4119",
            "fax_number": "210-372-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 BANDERA RD STE 110",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234265",
            "telephone_number": "210-318-4119",
            "fax_number": "210-372-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9522 Potranco Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782519601",
            "country_code": "US",
            "telephone_number": "210-569-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONEL",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057356",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413140",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cja Surgical Assistants
• Coastal Mobile Medical Group, PLLC
• Kaci Jolynn Contreras
• Katie Amanda Corkill
• Sierra Coronado
• Tracie Correa, DDS
• Lucia Cortes
• Julie Anne Cruz, DDS
• Rachel Cruz
• Abigail Cuellar

• Dentist in Helotes, TX
• Providers in Helotes, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.