NPIMap

Organization Active NPI

New Image Dentisrty

  • Dentist
  • San Antonio, TX
National Provider Identifier
1669888160
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16195 Issued in TX
Legal business name
NEW IMAGE DENTISRTY
Practice address
7902 Jones Mattsberger
San Antonio, TX 78216
Phone
(210) 804-1558
NPI assigned
Jul 3, 2014
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Claudia N Kerouac
Title
Insurance Coordinator
Phone
(210) 804-1558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27962 TX
Dentist 122300000X 16195 TX Primary

Addresses

Primary practice location

7902 Jones Mattsberger
San Antonio, TX 78216

Mailing address

7902 Jones Mattsberger
San Antonio, TX 78216
Phone (210) 804-1558

National Provider Directory

National Provider Directory

Locations

7902 Jones Maltsberger Rd
San Antonio, TX 78216
Phone (210) 804-1558

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1669888160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 JONES MATTSBERGER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-804-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 JONES MATTSBERGER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-804-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE DENTISRTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "KEROUAC",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "210-804-1558",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27962",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16195",
            "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 May 29, 2015; 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.